KELSEY HENEBERRY
NPI 1720668650
Nurse Practitioner - Gerontology in Toledo, OH
About Kelsey Heneberry NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELSEY HENEBERRY (NPI 1720668650) is an individual gerontology provider in Toledo, Ohio, licensed in Ohio (APRN.CNP.0028167) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Promedica Charles And Virginia Hickman Hospital, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 3
Accepted 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
Kelsey Heneberry 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.
Medicare Billing Reassignments
3Medicare enrollment records show Kelsey Heneberry reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Toledo, OH 43604
- Reassigned Medicare billing, Ohio enrollment
- 690 clinicians in this Medicare group
Toledo, OH 43606
- Reassigned Medicare billing, Ohio enrollment
- 375 clinicians in this Medicare group
Toledo, OH 43615
- Reassigned Medicare billing, Ohio enrollment
- 86 clinicians in this Medicare group
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
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.
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, MIWood County Hospital
Acute Care Hospitals · Bowling Green, OHPromedica Toledo Hospital
Acute Care Hospitals · Toledo, OHMemorial Hospital
Acute Care Hospitals · Fremont, OHBay Park Community Hospital
Acute Care Hospitals · Oregon, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 43608 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TOLEDO, OH 43608
TOLEDO, OH 43608
TOLEDO, OH 43608
TOLEDO, OH 43608
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 Kelsey Heneberry's NPI number?
The NPI number for Kelsey Heneberry is 1720668650. It was assigned to this individual provider in the NPPES registry on April 13, 2021.
Where is Kelsey Heneberry located?
Kelsey Heneberry practices at 2222 Cherry St Ste 1250, Toledo, OH 43608. The listed phone number is (419) 251-3180.
What is Kelsey Heneberry's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Kelsey Heneberry enrolled in Medicare?
Yes. Kelsey Heneberry 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 Kelsey Heneberry's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Heneberry reassigns Medicare benefits to 3 organizations: Mercy Health Physicians North Specialty Care LLC (Toledo, OH), The Toledo Hospital (Toledo, OH) and Promedica Northwest Ohio Cardiology Consultants, LLC (Toledo, OH). 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 Kelsey Heneberry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelsey Heneberry accept?
Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., Blue Care Network of Michigan, CareSource and MedMutual list Kelsey Heneberry 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 Kelsey Heneberry affiliated with any hospitals?
According to CMS data, Kelsey Heneberry is affiliated with Promedica Charles And Virginia Hickman Hospital, Wood County Hospital, Promedica Toledo Hospital, Memorial Hospital and Bay Park Community Hospital.
When was this NPI record last updated?
The NPPES record for Kelsey Heneberry was last updated on October 12, 2024. 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.
# Kelsey Heneberry · NPI 1720668650
Gerontology physician in Toledo, Ohio. Individual provider, active in the CMS NPPES registry since April 13, 2021.
## Identity
- **NPI:** 1720668650 (Entity type: Individual)
- **Enumerated:** April 13, 2021
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** APRN.CNP.0028167 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 2222 CHERRY ST STE 1250, Toledo, OH 43608-2687
- **Phone:** (419) 251-3180 · **Fax:** (419) 251-3849
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Mercy Health Physicians North Specialty Care LLC (NPI 1306468418, Toledo, OH); The Toledo Hospital (NPI 1407854771, Toledo, OH); Promedica Northwest Ohio Cardiology Consultants, LLC (NPI 1649559394, Toledo, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** October 12, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1720668650) · Data from the CMS NPPES public registry.