KELLEY E IRBY FNP-C
NPI 1376014282
Nurse Practitioner - Family in Cincinnati, OH

Active since December 17, 2018PECOS EnrolledAccepts Medicare Assignment
625 EDEN PARK DR, CINCINNATI, OH 45202(513) 246-9155(513) 487-4331 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 5, 2024, Nov 7, 2022, Jun 24, 2021 and 1 more (4 updates tracked since 2018).

About Kelley E Irby Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLEY E IRBY FNP-C (NPI 1376014282) is an individual family provider in Cincinnati, Ohio, licensed in Ohio (APRN.CNP.023640) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS, is affiliated with Bethesda North, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1376014282
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLEY E IRBYCredential: FNP-C
Location Address625 EDEN PARK DRCincinnati, OH 45202-6005
Mailing Address625 Eden Park DrCincinnati, OH 45202-6005 · (513) 246-9155 · Fax (513) 487-4331
Fax(513) 487-4331
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 17, 2018
Last NPPES UpdateDecember 5, 20244 updates tracked since enumeration
NPPES CertifiedDecember 5, 2024
NPI 1376014282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in OH · APRN.CNP.023640
Also ListedNurse PractitionerTaxonomy 363L00000X · License APRN.CNP.023640 (OH)
625 EDEN PARK DR, Cincinnati, OH 45202

Secondary Practice Locations 3

Location 11500 Sherman AveNorwood, OH 45212-2510 · Phone (859) 753-4075
Location 21578 Sherman AveNorwood, OH 45212-2510 · Phone (859) 753-4075
Location 3CareBridge/Hospice of Southwest Ohio, 7625 Camargo Rd.Cincinnati, OH 45243 · Phone (513) 528-8150

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kelley E Irby Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921344334
PECOS Enrollment IDI20190107000286
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
976 services115 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
404 services108 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
209 services50 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
120 services48 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
101 services28 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
78 services44 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bethesda North

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360179
Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
625 EDEN PARK DR
CINCINNATI, OH 45202
Nurse Practitioner (Family)
625 EDEN PARK DR
CINCINNATI, OH 45202
Nurse Practitioner (Family)
625 EDEN PARK DR
CINCINNATI, OH 45202
Nurse Practitioner (Adult Health)
625 EDEN PARK DR
CINCINNATI, OH 45202
Nurse Practitioner (Family)
625 EDEN PARK DR
CINCINNATI, OH 45202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelley Irby's NPI number?

The NPI number for Kelley Irby is 1376014282. It was assigned to this individual provider in the NPPES registry on December 17, 2018.

Where is Kelley Irby located?

Kelley Irby practices at 625 Eden Park Dr, Cincinnati, OH 45202. The listed phone number is (513) 246-9155.

What is Kelley Irby's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kelley Irby enrolled in Medicare?

Yes. Kelley Irby is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kelley Irby accept?

Health plans from CareSource, MedMutual and Oscar Health Insurance list Kelley Irby as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kelley Irby affiliated with any hospitals?

According to CMS data, Kelley Irby is affiliated with Bethesda North.

When was this NPI record last updated?

The NPPES record for Kelley Irby was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.