Active NPI 1174802938 Individual Practitioner Female Practitioner

Stacy Sue Kelley , CNP

Nurse Practitioner • Lewis Center, OH

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Stacy Kelley, CNP is a certified Nurse Practitioner practicing in Lewis Center, OH. With approximately 18 years of clinical experience since completing medical education in 2008, Stacy Kelley delivers high-quality medical care to the local community at 6515 PULLMAN DR.

Stacy Kelley is affiliated with Osu General Internal Medicine Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6515 Pullman Dr

Lewis Center, OH 430357380

Telephone 6146887150

Fax 6146887155

Associated Practice Facility / Clinic

🏢 Osu Neuroscience Center, Llc Facility NPI 1932199254

Medicare Profile & Education

Medical School

Other

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Lewis Center, OH

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs +6.7 yrs vs City Avg

City Avg: 11.3 Yrs

State Avg: 9.8 Yrs

Regional Practice Density

4 Specialists

Practicing in Lewis Center, OH (4294 Statewide)

Telehealth Adoption Rate

25.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

72.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kelley (18 Years) 18 Yrs

Lewis Center Specialty Average (11.3 Years) 11.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	118	93	$280.00	$83.27
99213 Established patient office or other outpatient visit, typically 15 minutes	74	57	$200.00	$63.79
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	44	44	$460.00	$53.15
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	28	12	$55.00	$34.35
G0008 Administration of influenza virus vaccine	21	21	$50.00	$30.40
90662 Influenza vaccine split virus, preservative free	18	18	$246.67	$81.82
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	11	11	$130.00	$50.28
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	11	11	$60.00	$13.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	128	101	$280.00	$93.57
99213 Established patient office or other outpatient visit, typically 15 minutes	46	37	$200.00	$67.55
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	33	33	$460.00	$61.79
G0008 Administration of influenza virus vaccine	27	27	$50.00	$29.36
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	26	12	$55.00	$32.60
90662 Influenza vaccine split virus, preservative free	24	24	$216.88	$71.79
81002 Urinalysis, manual test	12	12	$10.00	$3.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	113	85	$215.09	$97.30
99213 Established patient office or other outpatient visit, typically 15 minutes	48	43	$150.00	$77.09
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	28	28	$455.00	$83.98
G0008 Administration of influenza virus vaccine	28	26	$50.00	$27.99
90662 Influenza vaccine split virus, preservative free	23	21	$200.00	$68.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	49	41	$150.00	$68.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	38	$220.00	$97.03
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	15	15	$460.00	$111.13
G0008 Administration of influenza virus vaccine	15	15	$50.00	$16.19
90662 Influenza vaccine split virus, preservative free	13	13	$196.54	$65.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	97	79	$218.30	$83.90
99213 Established patient office or other outpatient visit, typically 15 minutes	49	47	$147.94	$56.46
99442 Telephone medical discussion with physician, 11-20 minutes	13	13	$100.00	$62.69
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	11	11	$380.00	$96.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	211	154	$215.97	$80.72
99213 Established patient office or other outpatient visit, typically 15 minutes	49	43	$145.00	$54.59
81002 Urinalysis, manual test	20	15	$10.00	$3.41
G0008 Administration of influenza virus vaccine	15	15	$50.00	$15.75
90662 Influenza vaccine split virus, preservative free	11	11	$161.82	$54.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	235	152	$202.21	$80.37
99213 Established patient office or other outpatient visit, typically 15 minutes	27	25	$135.74	$57.58
81002 Urinalysis, manual test	26	25	$10.00	$3.41
G0008 Administration of influenza virus vaccine	23	23	$50.00	$19.30
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	13	13	$54.00	$17.48
90662 Influenza vaccine split virus, preservative free	11	11	$151.55	$52.30
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	11	11	$385.00	$101.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	264	175	$190.28	$80.35
99213 Established patient office or other outpatient visit, typically 15 minutes	48	41	$128.33	$55.63
G0008 Administration of influenza virus vaccine	31	31	$50.00	$23.76
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	21	21	$54.00	$17.48
81002 Urinalysis, manual test	17	16	$10.00	$3.17

Medical Specialties & State Licenses

CMS Verified: 2025-03-07

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License OH APRN.CNP.12521

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License OH APRN.CNP.12521

Definition to come...

Hospital & Practice Group Affiliations

Osu General Internal Medicine Llc

2050 Kenny Rd, Columbus, OH 432213502

Phone: 6142938054

Osu General Internal Medicine Llc

6515 Pullman Dr, Lewis Center, OH 430357380

Phone: 6146887150

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Neha Teekappanavar

Internal Medicine

NPI 1023514585

Heather Lauderback , LISW-S

Social Worker - Clinical

NPI 1447773965

LISWS

Dr. Roopan Farris , MD

Internal Medicine

NPI 1750609970

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Business Mailing Address March 07, 2025

Registered at 700 ACKERMAN RD STE 2120, COLUMBUS, OH 432021559 (Tel: 6146887150)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2025

Nurse Practitioner (License #APRN.CNP.12521 in OH)

✅

NPI Profile Active January 02, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location January 02, 2014

Registered at 6515 PULLMAN DR, LEWIS CENTER, OH 430357380 (Tel: 6146887150)

📍

Updated Business Mailing Address January 02, 2014

Registered at 700 ACKERMAN RD, SUITE 260, COLUMBUS, OH 432021559 (Tel: 6149473700)

👤

Provider Name / Credentials Updated January 02, 2014

Recorded as STACY KELLEY, CNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 02, 2014

Nurse Practitioner (License #COA.12521-NP in OH)

🟢

Initial NPI Registration & Enumeration August 11, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174802938

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 11, 2011

Last Update: March 07, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

700 Ackerman Rd Ste 2120

Columbus, OH 432021559

Phone: 6146887150

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.