KELLIE ELIZABETH BERRY APRN- CNP
NPI 1790438604
Nurse Practitioner - Adult Health in Columbus, OH

Q: What is Kellie Berry's NPI number?

The NPI number for Kellie Berry is 1790438604. It was assigned to this individual provider in the NPPES registry on January 31, 2022.

Q: What is Kellie Berry's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Kellie Berry was last updated on September 4, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 31, 2022PECOS EnrolledAccepts Medicare Assignment

81.3/100

CMS Quality Rating

460 W 10TH AVE FL 5, COLUMBUS, OH 43210(614) 293-3196(614) 293-4812 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 4, 2025, Jul 28, 2023, Mar 3, 2023 and 1 more (4 updates tracked since 2022).

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About Kellie Elizabeth Berry Aprn- Cnp NPPES

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

KELLIE ELIZABETH BERRY APRN- CNP (NPI 1790438604) is an individual adult health provider in Columbus, Ohio, licensed in Ohio (APRN.CNP.0029672) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1790438604

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameKELLIE ELIZABETH BERRYCredential: APRN- CNP

Location Address460 W 10TH AVE FL 5Columbus, OH 43210-1240

Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 293-3196 · Fax (614) 293-4812

Phone(614) 293-3196

Fax(614) 293-4812

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJanuary 31, 2022

Last NPPES UpdateSeptember 4, 20254 updates tracked since enumeration

NPPES CertifiedSeptember 4, 2025

✔ NPI 1790438604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in OH · APRN.CNP.0029672

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 30889 (SC), APRN.CNP.0029672 (OH)

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License APRN.CNP.0029672 (OH)

460 W 10TH AVE FL 5, Columbus, OH 43210

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Other Identifiers 1

Medicaid0477126OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Kellie Elizabeth Berry Aprn- 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 ID1759775869

PECOS Enrollment IDI20251001002771

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43210 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.

81.3/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

73.58

Promoting Interoperability

Improvement Activities

Cost

65.77

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Other Providers at the Same Location NPPES 20

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

KATHERINE KYLE WEALS PA-C

Physician Assistant