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KELLY MARIE DORFMEISTER FNP
NPI 1679206163
Nurse Practitioner - Family in Toledo, OH

Active since July 03, 2022PECOS EnrolledAccepts Medicare Assignment
1421 S REYNOLDS RD, TOLEDO, OH 43615(419) 725-6290 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 3, 2023, Aug 27, 2022 (2 updates tracked since 2022).

About Kelly Marie Dorfmeister Fnp NPPES

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

KELLY MARIE DORFMEISTER FNP (NPI 1679206163) is an individual family provider in Toledo, Ohio, licensed in Ohio (F07220050) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, is affiliated with Promedica Toledo Hospital, and is a graduate of University Of Toledo College Of Medicine (2022).

NPPES Registry Identity

NPI1679206163
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY MARIE DORFMEISTERCredential: FNP
Location Address1421 S REYNOLDS RDToledo, OH 43615-7413
Mailing Address1421 S Reynolds RdToledo, OH 43615-7413 · (419) 725-6290
Phone(419) 725-6290
Sole ProprietorYes
Medical School CMSUniversity Of Toledo College Of MedicineGraduated 2022
Enumeration DateJuly 3, 2022
Last NPPES UpdateNovember 3, 20232 updates tracked since enumeration
NPPES CertifiedAugust 27, 2022
✔ NPI 1679206163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · F07220050
1421 S REYNOLDS RD, Toledo, OH 43615
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.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

Kelly Marie Dorfmeister Fnp 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 ID5597141929
PECOS Enrollment IDI20221007001416
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 6

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 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.
72 services72 patients
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.
60 services60 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
27 services27 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
20 services20 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
16 services16 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
15 services14 patients

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43615 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 3

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

THE PRIMARY CARE NETWORK
Internal Medicine
1421 S REYNOLDS RD
TOLEDO, OH 43615
Lucas County (419) 725-6252
NORTHWEST OHIO URGENT CARE LLC
Family Medicine
1421 S REYNOLDS RD
TOLEDO, OH 43615
Lucas County (419) 725-6290
BREANNE LYN LIESKE
Nurse Practitioner (Family)
1421 S REYNOLDS RD
TOLEDO, OH 43615
Lucas County (419) 725-6290

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 Kelly Dorfmeister's NPI number?

The NPI number for Kelly Dorfmeister is 1679206163. It was assigned to this individual provider in the NPPES registry on July 3, 2022.

Where is Kelly Dorfmeister located?

Kelly Dorfmeister practices at 1421 S Reynolds Rd, Toledo, OH 43615. The listed phone number is (419) 725-6290.

What is Kelly Dorfmeister's specialty?

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

Is Kelly Dorfmeister enrolled in Medicare?

Yes. Kelly Dorfmeister 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 Kelly Dorfmeister accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Kelly Dorfmeister 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 Kelly Dorfmeister affiliated with any hospitals?

According to CMS data, Kelly Dorfmeister is affiliated with Promedica Toledo Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Dorfmeister was last updated on November 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.