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

Kelsey Tanis

Individual provider Gerontology Nurse Practitioner · NPI 1366326647

Kelsey Tanis is a Nurse Practitioner in Cleveland, Ohio. Qualified in 2025, 1 year ago. Practices with Cleveland Clinic, a 6,935-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
1
Licensed in
OH
In the registry since
2025

Practice location Address checks out

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone: (616) 826-7414
Show map & directions

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

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 0039808 (OH)

Record details

NPI number1366326647
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 1, 2025
Last updated in NPPESNovember 21, 2025
Certification dateNovember 21, 2025
Mailing address2098 Wascana Ave, Lakewood, OH 44107-6130

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Cleveland Clinic — 6935 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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