KELSEY HENEBERRY
NPI 1720668650
Nurse Practitioner - Gerontology in Toledo, OH

Active since April 13, 2021PECOS EnrolledAccepts Medicare Assignment
31.16/100
CMS Quality Rating
2222 CHERRY ST STE 1250, TOLEDO, OH 43608(419) 251-3180(419) 251-3849 Get Directions Write a Review

NPPES record last updated: October 12, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 12, 2024, Dec 23, 2022, Aug 24, 2021 and 1 more (4 updates tracked since 2021).

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

NPI1720668650
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameKELSEY HENEBERRY
Location Address2222 CHERRY ST STE 1250Toledo, OH 43608-2687
Mailing Address2222 Cherry St Ste 1250Toledo, OH 43608-2687
Fax(419) 251-3849
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 13, 2021
Last NPPES UpdateOctober 12, 20244 updates tracked since enumeration
NPPES CertifiedOctober 12, 2024
NPI 1720668650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in OH · APRN.CNP.0028167
Also ListedNurse PractitionerTaxonomy 363L00000X · License APRN.CNP.0028167 (OH), 209021951 (IL)
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 209021951 (IL)
2222 CHERRY ST STE 1250, Toledo, OH 43608

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

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.

PECOS PAC ID7911308614
PECOS Enrollment IDI20221118001298
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

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 hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
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 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

Promedica Defiance Regional Hospital

Critical Access Hospitals · Defiance, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361328
Location1200 Ralston AvenueDefiance, OH 43512 · Defiance County
Emergency services Birthing friendly

Physician 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.

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.

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.

31.16/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality18.99
Promoting Interoperability0
Improvement Activities20
Cost59.89

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.

Thoracic Surgery (Cardiothoracic Vascular Surgery)
2222 CHERRY ST STE 1250
TOLEDO, OH 43608
Nurse Practitioner (Family)
2222 CHERRY ST STE 1250
TOLEDO, OH 43608
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2222 CHERRY ST STE 1250
TOLEDO, OH 43608
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2222 CHERRY ST STE 1250
TOLEDO, OH 43608
Surgery (Vascular Surgery)
2222 CHERRY ST STE 1250
TOLEDO, OH 43608
Nurse Practitioner (Family)
2222 CHERRY ST STE 1250
TOLEDO, OH 43608
Physician Assistant
2222 CHERRY ST STE 1250
TOLEDO, OH 43608
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2222 CHERRY ST STE 1250
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.

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, Blue Cross Blue Shield of Michigan Mutual Insurance Company and CareSource and 1 other insurer 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, Promedica Toledo Hospital, Memorial Hospital, Bay Park Community Hospital and Promedica Defiance Regional Hospital.

When was this NPI record last updated?

The NPPES record for Kelsey Heneberry was last updated on October 12, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.