Kelley Pruiett

CNP | Nurse Practitioner | 14+ years Exp

1601 Brigham Dr, Suite 120, Perrysburg
  Ohio, 43551-7114
419-872-7703
Accepts Medicare Nurse Anesthetist in Perrysburg, Ohio.
Kelley Pruiett is a Perrysburg, Ohio based nurse practitioner with 14 years of experience in . She completed her graduation in 2010. and . She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Kelley Pruiett is NP-11612 in Ohio. Her current practice location is 1601 Brigham Dr, Suite 120, Perrysburg. Patients can reach her at 419-872-7703 or can fax her at 419-872-1704. Kelley Pruiett is CNP and her NPI number (Unique professional ID assigned by NPPES) is 1649583139.
Kelley Pruiett has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Kelley Pruiett speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Kelley Pruiett
Specialization: Nurse Practitioner (NP)
Gender:Female
Credentials: CNP
Experience: 14+ years
Medical School Attended:Other
Graduation Year:2010
Accepts Medicare Assignment:Yes
Practice Address:1601 Brigham Dr, Suite 120, Perrysburg,
Ohio, 43551-7114
Phone:419-872-7703
Fax:419-872-1704
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 3971795113
Enrollment ID: I20101006001189
NPI Number: 1649583139
NPI Enumeration Date: 26 Jul, 2010
NPI Last Update On: 03 Nov, 2023

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kelley Pruiett are as mentioned below.
License NumberSpecializationStateStatus
NP-11612 OhioPrimary
RN-276458Registered Nurse OhioSecondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) State Hospital Type
(360068)Toledo, OHAcute Care Hospital
(360090)Maumee, OHAcute Care Hospital
(361328)Defiance, OHCritical Access Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name with which Kelley Pruiett is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Promedica Northwest Ohio Cardiology Consultants Llc (4981752938)66
Other Medical Identifiers:
Other legacy medical identifiers associated with Kelley Pruiett such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
9384591OtherOhioAETNA
P00962317OtherOhioRRMC
000000671121OtherOhioANTHEM
3076442MedicaidOhio
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Kelley Pruiett
1601 Brigham Dr, Suite 120
Perrysburg, Ohio
Zip: 43551-7114
Phone Number: 419-872-7703
Fax Number: 419-872-1704
Patients can reach Kelley Pruiett at 1601 Brigham Dr, Suite 120, Perrysburg, Ohio or can call to book an appointment on 419-872-7703.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.