Individual provider Active NPI

Katelyn McElhaney, PPCNP-BC

  • Pediatric Nurse Practitioner
  • Lisbon, OH
National Provider Identifier
1053850867
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
024035 Issued in OH
Practice address
400 N Market St
Lisbon, OH 44432-1014
Phone
(330) 424-9866
Fax
(330) 424-7689
NPI assigned
Feb 14, 2017
Last updated
May 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 81237 WV
Pediatric Nurse Practitioner 363LP0200X 024035 OH Primary

Addresses

Primary practice location

400 N Market St
Lisbon, OH 44432-1014

Mailing address

400 N Market St
Lisbon, OH 44432-1014
Phone (330) 424-9866

Other practice location 1

3045 Pennsylvania Ave
Weirton, WV 26062-3770
Phone (304) 723-4000

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
I20190402000215 OH Practitioner - Nurse Practitioner 2567703531 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
024035OHMDPediatric Nurse Practitioner
81237WVMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Hospital Medical Center of Akron Current Accepting new patients
Children's Hospital Medical Center of Akron CurrentSince Feb 27, 2019 Accepting new patients
Children's Hospital Medical Center of Akron CurrentSince Feb 27, 2019 Accepting new patients
Akron Children's Hospital Current Accepting new patients
West Virginia University Medical Corporation Past Accepting new patients

Locations

1 Perkins Sq
Akron, OH 44308
Phone (330) 543-8050

Interoperability endpoints

  • Direct secure messaging: kmcelhaney93201@direct.chmca.org

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1053850867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N MARKET ST",
            "city": "LISBON",
            "state": "OH",
            "postal_code": "444321014",
            "telephone_number": "330-424-9866",
            "fax_number": "304-247-6893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N MARKET ST",
            "city": "LISBON",
            "state": "OH",
            "postal_code": "444321014",
            "telephone_number": "330-424-9866",
            "fax_number": "330-424-7689"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3045 Pennsylvania Ave",
            "address_purpose": "LOCATION",
            "city": "Weirton",
            "state": "WV",
            "postal_code": "260623770",
            "country_code": "US",
            "telephone_number": "304-723-4000",
            "fax_number": "304-794-7100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCELHANEY",
        "first_name": "KATELYN",
        "credential": "PPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-14",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "WV",
            "license": "81237",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OH",
            "license": "024035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lisbon, OH

Sources for this page

Verify at the official NPI Registry.