Individual Healthcare Provider
Crystal Sue Kelley, RN
Provider's NPPES record last updated: August 13, 2024
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1194561126
- Primary Specialty
- Clinical Nurse Specialist — Informatics
- Practice Location
- Dayton, Ohio
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 17, 2026, 10:01 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Clinical Nurse Specialist
Informatics
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 364SI0800X Registered Nurse
Case Management
Nursing Service Providers
Definition to come...
Taxonomy code 163WC0400XCase Management
Agencies
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.
Taxonomy code 251B00000X
Provider-Reported License Information
- Clinical Nurse Specialist (Ohio)
- RN254302
- Registered Nurse (Ohio)
- RN254302
- Case Management (Ohio)
- RN254302
Practice Locations
Practice Location
4881 Sugar Maple Dr
Dayton, Ohio 45433-5529
Phone: (937) 522-2813
Record Information
- Enumeration Date
- July 9, 2024
- Provider's NPPES Record Last Updated
- August 13, 2024
- Certification Date
- August 13, 2024
- NPISignal NPPES Dataset
- August 2026
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