Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelley J Peters, NP

Individual provider Registered Nurse · NPI 1639573694

Kelley J Peters, NP is a Nurse Practitioner in Antwerp, Ohio. Qualified in 2014, 12 years ago. Practices with Crossroads Urgent Care PLLC, a 179-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana, Ohio and Tennessee.

Years since qualifying
12
Licensed in
IN, OH, TN
In the registry since
2014
Specialties on file
4
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

107 Buffalo St
Antwerp, OH 45813-1047
Phone: (419) 258-5641
Fax: (419) 258-2711
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8635 Middlebrook Pike, Knoxville, TN 37923-1612 — (865) 824-0079

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 25358 (TN)
Registered Nurse Taxonomy 163W00000X · Licence 28145162A (IN)
Nurse Practitioner Taxonomy 363L00000X · Licence 71005210A (IN)
Nurse Practitioner Taxonomy 363L00000X · Licence COA16762 (OH)

Record details

NPI number1639573694
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedOctober 20, 2014
Last updated in NPPESNovember 8, 2023
Certification dateNovember 8, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Crossroads Urgent Care Pllc — 179 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare