Individual provider Active NPI

Kelly Leigh Scholl, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lewis Center, OH
National Provider Identifier
1003985391
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
08935 Issued in OH
Practice address
7100 Graphics Way Ste 3100
Lewis Center, OH 43035-0238
Phone
(740) 428-0428
Fax
(740) 909-4077
NPI assigned
Nov 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 08935 OH Primary

Addresses

Primary practice location

7100 Graphics Way Ste 3100
Lewis Center, OH 43035-0238

Mailing address

940 Marion Williamsport Rd E
Marion, OH 43302-8684
Phone (740) 382-5781

Other practice location 1

940 Marion Williamsport Rd E
Marion, OH 43302-8684
Phone (740) 382-5781

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070215000330 OH Practitioner - Nurse Practitioner 9234131574 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Syntero IncGroup PAC ID 8224020466, 33 clinicians

Practice addresses (Care Compare)

299 Cramer Creek CT
Dublin, OH 43017-2586
Phone (614) 889-5722

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
08935OHMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Syntero, Inc. CurrentSince Jul 1, 2020 Accepting new patients
Southeast, Inc Past Accepting new patients
Southeast, Inc Past Accepting new patients

Locations

299 Cramer Creek Ct
Dublin, OH 43017
Phone (614) 889-5722

7100 Graphics Way
Ste 3100
Lewis Center, OH 43035
Phone (740) 428-0428

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1003985391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 MARION WILLIAMSPORT RD E",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433028684",
            "telephone_number": "740-382-5781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 GRAPHICS WAY STE 3100",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430350238",
            "telephone_number": "740-428-0428",
            "fax_number": "740-909-4077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "940 Marion Williamsport Rd E",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "OH",
            "postal_code": "433028684",
            "country_code": "US",
            "telephone_number": "740-382-5781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHOLL",
        "first_name": "KELLY",
        "middle_name": "LEIGH",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "08935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewis Center, OH

Sources for this page

Verify at the official NPI Registry.