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

Kelsey Heneberry

Individual provider Nurse Practitioner · NPI 1720668650

Kelsey Heneberry is a Nurse Practitioner in Toledo, Ohio. Qualified in 2020, 6 years ago. Practices with Promedica Northwest Ohio Cardiology Consultants LLC, a 82-clinician group and accepts Medicare assignment. Licensed in Illinois and Ohio.

Years since qualifying
6
Licensed in
IL, OH
In the registry since
2021
Specialties on file
4
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Practice location Address checks out

2222 Cherry St Ste 1250
Toledo, OH 43608-2687
Phone: (419) 251-3180
Fax: (419) 251-3849
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence APRN.CNP.0028167 (OH)
Nurse Practitioner Taxonomy 363L00000X · Licence APRN.CNP.0028167 (OH)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 209021951 (IL)
Nurse Practitioner Taxonomy 363L00000X · Licence 209021951 (IL)

Record details

NPI number1720668650
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 13, 2021
Last updated in NPPESOctober 12, 2024
Certification dateOctober 12, 2024
Mailing address2222 Cherry St Ste 1250, Toledo, OH 43608-2687

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Promedica Northwest Ohio Cardiology Consultants Llc — 82 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Toledo