KELLEY PRUIETT CNP
NPI 1649583139
Nurse Practitioner in Toledo, OH

Q: What is Kelley Pruiett's NPI number?

The NPI number for Kelley Pruiett is 1649583139. It was assigned to this individual provider in the NPPES registry on July 26, 2010.

Q: What is Kelley Pruiett's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelley Pruiett was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since July 26, 2010PECOS EnrolledAccepts Medicare Assignment

2109 HUGHES DR # 720, TOLEDO, OH 43606(419) 291-2077(419) 291-2122 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 9, 2026, Nov 3, 2023 (2 updates tracked since 2023).

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About Kelley Pruiett Cnp NPPES

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

KELLEY PRUIETT CNP (NPI 1649583139) is an individual nurse practitioner in Toledo, Ohio, licensed in Ohio (APRN.CNP.11612) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, is affiliated with Promedica Charles And Virginia Hickman Hospital, and is a graduate of Medical College Of Ohio (2010).

NPPES Registry Identity

NPI1649583139

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKELLEY PRUIETTCredential: CNP

Location Address2109 HUGHES DR # 720Toledo, OH 43606-3858

Mailing Address2109 Hughes Dr # 720Toledo, OH 43606-3858

Phone(419) 291-2077

Fax(419) 291-2122

Sole ProprietorNo

Medical School CMSMedical College Of OhioGraduated 2010

Enumeration DateJuly 26, 2010

Last NPPES UpdateMarch 9, 20262 updates tracked since enumeration

NPPES CertifiedMarch 9, 2026

✔ NPI 1649583139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in OH · APRN.CNP.11612

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License RN-276458 (OH)

2109 HUGHES DR # 720, Toledo, OH 43606

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Other Identifiers 4

Other9384591OH · Aetna

OtherP00962317OH · Rrmc

Other000000671121OH · Anthem

Medicaid3076442OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, CareSource and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelley Pruiett Cnp 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 ID3971795113

PECOS Enrollment IDI20101006001189, I20251006002326

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.

Medicare Billing Reassignments

Medicare enrollment records show Kelley Pruiett reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Toledo Hospital

0.1 mi

General Acute Care Hospital

2142 N COVE BLVD
Toledo, OH 43606

Reassigned Medicare billing, Ohio enrollment
375 clinicians in this Medicare group

NPI 1407854771 (419) 593-0214

Promedica Central Physicians

3.6 mi

Family Medicine

100 MADISON AVE, MSC-S38805
Toledo, OH 43604

Reassigned Medicare billing, Ohio enrollment
1,072 clinicians in this Medicare group

NPI 1043270150 (567) 585-1964

Promedica Northwest Ohio Cardiology Consultants, LLC

5.6 mi

Cardiac Rehabilitation

2940 N MCCORD RD STE 101
Toledo, OH 43615

Reassigned Medicare billing, Ohio enrollment
86 clinicians in this Medicare group

NPI 1649559394 (419) 842-3000

Bay Park Community Hospital

7.0 mi

General Acute Care Hospital

2801 BAY PARK DR
Oregon, OH 43616

Reassigned Medicare billing, Ohio enrollment
38 clinicians in this Medicare group

NPI 1598765539 (800) 477-4035

Mercy Memorial Hospital Corporation

20 mi

Endocrinology, Diabetes & Metabolism

718 N MACOMB ST
Monroe, MI 48162

Reassigned Medicare billing, Michigan enrollment
59 clinicians in this Medicare group

NPI 1861636540 (734) 240-8840

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 13

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

252 services196 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

148 services129 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

120 services80 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294

This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.

100 services38 patients

Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days 93295

This procedure involves remotely monitoring your implantable defibrillator system, which can have single, dual, or multiple leads. Over a period of up to 90 days, the system's performance is evaluated to ensure it's working properly and providing the necessary heart rhythm support.

80 services33 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

70 services65 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

35 services35 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

34 services33 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

32 services31 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system 93288

An evaluation of a pacemaker system examines how well your heart device is working. Single, dual, multiple lead, or leadless refers to the wires that deliver electrical pulses from the pacemaker to your heart. This check ensures your heart is receiving the right amount of support from the device.

30 services26 patients

Evaluation of single, dual, or multiple lead implantable defibrillator system 93289

This procedure evaluates your implantable defibrillator system, which helps regulate your heart rhythm. It can involve single, dual, or multiple lead systems. It's essential to ensure the device is working correctly and adjusting to your heart's needs.

25 services21 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

14 services14 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

14 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Promedica Charles And Virginia Hickman Hospital

Acute Care Hospitals · Adrian, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230005

Location5640 N Adrian HighwayAdrian, MI 49221 · Lenawee County

Emergency services Birthing friendly

Promedica Monroe Regional Hospital

Acute Care Hospitals · Monroe, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230099

Location718 N Macomb StMonroe, MI 48162 · Monroe County

Emergency services Birthing friendly

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360068

Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County

Emergency services Birthing friendly

Memorial Hospital

Acute Care Hospitals · Fremont, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360156

Location715 South Taft AvenueFremont, OH 43420 · Sandusky County

Birthing friendly

Bay Park Community Hospital

Acute Care Hospitals · Oregon, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360259

Location2801 Bay Park DriveOregon, OH 43616 · Lucas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43606 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 2

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

ALEXANDER DAVID GHANNAM MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

2109 HUGHES DR # 720
TOLEDO, OH 43606

Lucas County (419) 291-2077

DANIEL FENDERSON APRN, CNP

Nurse Practitioner (Family)

2109 HUGHES DR # 720
TOLEDO, OH 43606

Lucas County (419) 291-2077

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 Pruiett's NPI number?

The NPI number for Kelley Pruiett is 1649583139. It was assigned to this individual provider in the NPPES registry on July 26, 2010.

Where is Kelley Pruiett located?

Kelley Pruiett practices at 2109 Hughes Dr # 720, Toledo, OH 43606. The listed phone number is (419) 291-2077.

What is Kelley Pruiett's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kelley Pruiett enrolled in Medicare?

Yes. Kelley Pruiett 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.

Which organizations bill Medicare for Kelley Pruiett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelley Pruiett reassigns Medicare benefits to 5 organizations: The Toledo Hospital (Toledo, OH), Promedica Central Physicians (Toledo, OH), Promedica Northwest Ohio Cardiology Consultants, LLC (Toledo, OH), Bay Park Community Hospital (Oregon, OH) and Mercy Memorial Hospital Corporation (Monroe, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelley Pruiett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelley Pruiett accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, CareSource, MedMutual and Priority Health list Kelley Pruiett 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 Pruiett affiliated with any hospitals?

According to CMS data, Kelley Pruiett is affiliated with Promedica Charles And Virginia Hickman Hospital, Promedica Monroe Regional Hospital, Promedica Toledo Hospital, Memorial Hospital and Bay Park Community Hospital.

When was this NPI record last updated?

The NPPES record for Kelley Pruiett was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.