Individual provider Active NPI

Kelsey McMahon, APRN,NP-C

  • Family Nurse Practitioner
  • Beachwood, OH
National Provider Identifier
1235713439
Registry record updated Nov 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0027513 Issued in OH
Practice address
3700 Park East Dr Ste 450
Beachwood, OH 44122-4318
Phone
(866) 849-0692
Fax
(888) 973-8821
NPI assigned
May 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X LG-0013549 DE
Family Nurse Practitioner 363LF0000X APRN.CNP.0027513 OH Primary
Family Nurse Practitioner 363LF0000X C-APN.0103530-C-NP CO
Family Nurse Practitioner 363LF0000X SP034421 PA
Family Nurse Practitioner 363LF0000X 1206420 TX

Addresses

Primary practice location

3700 Park East Dr Ste 450
Beachwood, OH 44122-4318

Mailing address

PO Box 211699
Eagan, MN 55121-3699
Phone (866) 849-0692

Other practice location 1

800 McConnell Dr
Columbus, OH 43214-3463
Phone (614) 566-5377

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kmcmahon812529@direct.ohiohealth.com Direct OhioHealth Corporation
Direct Messaging Address kmcmahon812529@direct.ohiohealth.com Direct OhioHealth Physician Group, Inc.

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
I20210730000401 OH Practitioner - Nurse Practitioner 4385047190 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C-APN.0103530-C-NPCOMDFamily Nurse Practitioner
LG-0013549DEMDFamily Nurse Practitioner
SP034421PAMDFamily Nurse Practitioner
1206420TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Personal MD, LLC CurrentSince Mar 8, 2022 Accepting new patients
Ohiohealth Corporation CurrentSince Oct 1, 2023 Accepting new patients
Ohiohealth Corporation CurrentSince Oct 1, 2023 Accepting new patients
Devoted Medical Group Inc CurrentSince Nov 18, 2024 Accepting new patients

Locations

221 Crescent St
Ste 202
Waltham, MA 02453
Phone (617) 958-1611

3700 Park East Dr
Ste 450
Beachwood, OH 44122
Phone (216) 255-5751

Dept L3652
Columbus, OH 43260

800 McConnell Dr
Columbus, OH 43214
Phone (614) 533-6297

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

5121 Forest Dr
Ste D
New Albany, OH 43054
Phone (614) 476-1112

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4869/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1620777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764288000000",
    "number": "1235713439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 211699",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551213699",
            "telephone_number": "866-849-0692",
            "fax_number": "888-973-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 PARK EAST DR STE 450",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224318",
            "telephone_number": "866-849-0692",
            "fax_number": "888-973-8821"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 McConnell Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432143463",
            "country_code": "US",
            "telephone_number": "614-566-5377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMAHON",
        "first_name": "KELSEY",
        "credential": "APRN,NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-12",
        "last_updated": "2025-11-28",
        "certification_date": "2025-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0013549",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0027513",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "C-APN.0103530-C-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP034421",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1206420",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmcmahon812529@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Corporation",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "800 McConnell Dr",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432143463",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmcmahon812529@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group, Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "800 McConnell Dr",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432143463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.