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

Kelley Pruiett, CNP

Individual provider Nurse Practitioner · NPI 1649583139

Kelley Pruiett, CNP is a Nurse Practitioner in Toledo, Ohio. Graduated from Medical College of Ohio in 2010, 16 years ago. Practices with Promedica Central Physicians, a 784-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
16
Trained at
Medical College of Ohio
Licensed in
OH
In the registry since
2010
Specialties on file
2
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

2109 Hughes Dr # 720
Toledo, OH 43606-3858
Phone: (419) 291-2077
Fax: (419) 291-2122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN.CNP.11612 (OH)
Registered Nurse Taxonomy 163W00000X · Licence RN-276458 (OH)

Record details

NPI number1649583139
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedJuly 26, 2010
Last updated in NPPESMarch 9, 2026
Certification dateMarch 9, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolMEDICAL COLLEGE OF OHIO
Graduated 2010 (16 years in practice)
Group practice Promedica Central Physicians — 784 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Toledo