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

Mrs. Stacy Sue Kelley, CNP

Individual provider Family Nurse Practitioner · NPI 1174802938

Mrs. Stacy Sue Kelley, CNP is a Nurse Practitioner in Lewis Center, Ohio. Qualified in 2008, 18 years ago. Practices with Osu General Internal Medicine LLC, a 266-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
18
Licensed in
OH
In the registry since
2011
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

6515 Pullman Dr
Lewis Center, OH 43035-7380
Phone: (614) 688-7150
Fax: (614) 688-7155
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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.12521 (OH)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN.CNP.12521 (OH)

Record details

NPI number1174802938
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedAugust 11, 2011
Last updated in NPPESMarch 7, 2025
Certification dateMarch 7, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Osu General Internal Medicine Llc — 266 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Lewis Center