KEVIN THOMAS HARTLEY – Family Nurse Practitioner, NPI 1396375952

KEVIN THOMAS HARTLEY is a healthcare provider. based in Mason, Ohio. specializing in NURSE PRACTITIONER. They hold a License No. 3014140 (KY). The NPI Number for KEVIN THOMAS HARTLEY is 1396375952

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN THOMAS HARTLEY
NPI
1396375952
Phone
(513) 486-3744
Address
6213 SNIDER RD STE A
Enumeration Date
23 January 2020
Last Update Date
5 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2604839081
Graduation Year
2020 (6 years ago)
PAC ID
9436588035
Group Practice PAC ID
4183040470
Professional Enrollment ID
I20200402001730
Address ID
OH430261160HI3958XDRXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for KEVIN THOMAS HARTLEY

  • 6213 SNIDER RD STE A

    MASON, OH 450402643

    Phone: (513) 486-3744

    Type: Mailing

  • 7000 DIXIE HWY

    FLORENCE, KY 410422010

    Phone: (859) 282-2024

    Fax: (859) 282-6747

    Type: Mailing

  • PO BOX 330

    LOVELAND, OH 451400330

    Phone: (513) 454-7246

    Fax: (513) 438-0202

    Type: Mailing

  • 111 VANDAMENT WAY

    MOUNT ORAB, OH 451548311

    Phone: (513) 454-7246

    Fax: (513) 438-0202

    Type: Location

  • 160 Prosperous Pl

    Lexington, KY 405091863

    Phone: (859) 367-7246

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 194 Open Payments records for all available years, with a total value of $7,923.

Total Amount is formed as General ($7,923) + Research ($0) + Ownership ($0) = $7,923.

Last reported payment date: 2024-12-27 • Largest payer in this snapshot: Medtronic, Inc. ($4,560).

Total Amount

$7,923

General + Research + Ownership

Payments

194

Total payment records

General Amount

$7,923

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-27

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-10-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200402001730INurse PractitionerOHTBD
I20241017003923INurse PractitionerKYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes27598$0
99214Established patient office or other outpatient visit, 30-39 minutes249105$0
80307Testing for presence of drug, by chemistry analyzers15179$0
62367Electronic analysis of spinal canal drug infusion pump4520$0
G0483Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms3431$0
View full utilization report →

Insurance plans in this area (ZIP 45040)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4183040470View full group profile
NameSpecialtyState
Physician AssistantOH
Physician AssistantNC
Physician AssistantOH
Nurse PractitionerKY
Nurse PractitionerOH
Family PracticeOH
Nurse PractitionerOH
Nurse PractitionerKY
Nurse PractitionerOH
Nurse PractitionerKY

Reviews

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Frequently asked questions

Is KEVIN THOMAS HARTLEY listed with a National Provider Identifier?
Yes — KEVIN THOMAS HARTLEY has NPI 1396375952 on file in the registry.
Is there an active status for KEVIN THOMAS HARTLEY?
For scheduling context, KEVIN THOMAS HARTLEY is shown as active in the registry.
What expertise is attributed to KEVIN THOMAS HARTLEY?
KEVIN THOMAS HARTLEY's specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with KEVIN THOMAS HARTLEY?
Directory geography for KEVIN THOMAS HARTLEY centers on Mason, Ohio.
Does KEVIN THOMAS HARTLEY accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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