Individual provider Active NPI

Lee Keasal, NP-C

  • Family Health Clinical Nurse Specialist
  • Reynoldsburg, OH
National Provider Identifier
1063827780
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X
License
COA.15993-NP Issued in OH
Practice address
2014 Baltimore Reynoldsburg Rd
Reynoldsburg, OH 43068-3261
Phone
(614) 522-6900
NPI assigned
Jun 23, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Health Clinical Nurse Specialist 364SF0001X COA.15993-NP OH Primary

Addresses

Primary practice location

2014 Baltimore Reynoldsburg Rd
Reynoldsburg, OH 43068-3261

Mailing address

335 Glessner Ave RM 325
Mansfield, OH 44903-2269
Phone (419) 520-2495

Other identifiers 1

IdentifierTypeStateIssuer
0174849MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lkeasal13222@direct.ohiohealth.com OhioHealth Physician Group

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
I20160819000646 OH Practitioner - Nurse Practitioner 0143543785 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohiohealth Urgent Care LLCGroup PAC ID 3476733700, 129 clinicians

Practice addresses (Care Compare)

6905 Hospital Dr
Suite 130
Dublin, OH 43016-9600
Phone (614) 923-0300

Merit-based Incentive Payment System (MIPS)

Final score
86.16 of 100Reported as group
Quality
79.15
Promoting interoperability
100
Improvement activities
40
Cost
74.72

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA.15993-NPOHMDFamily Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Urgent Care LLC CurrentSince Oct 1, 2018 Accepting new patients
Ohiohealth Corporation CurrentSince Feb 1, 2026 Accepting new patients
Ohiohealth Corporation CurrentSince Feb 1, 2026 Accepting new patients

Locations

Dept L3652
Columbus, OH 43260

6905 Hospital Dr
Ste 130
Dublin, OH 43016
Phone (614) 923-0300

2030 Stringtown Rd
Grove City, OH 43123
Phone (614) 566-0987

335 Glessner Ave
Rm 325
Mansfield, OH 44903

900 Meadow Dr
Ste A
Mount Gilead, OH 43338
Phone (567) 876-6360

2014 Baltimore Reynoldsburg Rd
Reynoldsburg, OH 43068
Phone (614) 522-6900

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1063827780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 GLESSNER AVE RM 325",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449032269",
            "telephone_number": "419-520-2495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 BALTIMORE REYNOLDSBURG RD",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430683261",
            "telephone_number": "614-522-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEASAL",
        "first_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-23",
        "last_updated": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "OH",
            "license": "COA.15993-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0174849",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lkeasal13222@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group",
            "address_1": "2014 Baltimore Reynoldsburg Rd",
            "city": "Reynoldsburg",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430683261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Reynoldsburg, OH

Sources for this page

Verify at the official NPI Registry.