Individual provider Active NPI

Kayla M McPherson, CNP

  • Nurse Practitioner
  • Coventry Township, OH
National Provider Identifier
1235847559
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.0031994 Issued in OH
Practice address
2802 Balton Dr
Coventry Township, OH 44319-1802
Phone
(330) 608-2647
NPI assigned
Nov 7, 2022
Last updated
Nov 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.0031994 OH Primary

Addresses

Primary practice location

2802 Balton Dr
Coventry Township, OH 44319-1802

Mailing address

2802 Balton Dr
Coventry Township, OH 44319-1802
Phone (330) 608-2647

Other names 1

  • Kayla M Keathley Former name

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
I20230327002970 OH Practitioner - Nurse Practitioner 9032583349 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Akron General Medical CenterGroup PAC ID 8426961061, 117 clinicians
Usacs Integrated Acute Care Services of Ohio LLCGroup PAC ID 9032527221, 232 clinicians

Practice addresses (Care Compare)

1 Akron General Ave
Akron, OH 44307-2432
Phone (330) 344-6047

141 N Forge St
Akron, OH 44304-1407
Phone (330) 375-3000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Usacs Integrated Acute Care Services of Ohio, LLC Nurse Practitioner CurrentSince Dec 18, 2023 Accepting new patients
4M Hospitalist Services, LLC Nurse Practitioner CurrentSince Mar 1, 2023 Accepting new patients
Akron General Medical Center CurrentSince Dec 20, 2023 Accepting new patients
Akron General Medical Center CurrentSince Dec 20, 2023 Accepting new patients

Locations

1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760

141 N Forge St
Akron, OH 44304
Phone (330) 375-3361

155 5th St NE
Barberton, OH 44203
Phone (330) 615-3000

3557 Embassy Pkwy
Fairlawn, OH 44333
Phone (330) 670-1005

100 Medical Center Dr
Springfield, OH 45504
Phone (937) 523-1000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1235847559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2802 BALTON DR",
            "city": "COVENTRY TOWNSHIP",
            "state": "OH",
            "postal_code": "443191802",
            "telephone_number": "330-608-2647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2802 BALTON DR",
            "city": "COVENTRY TOWNSHIP",
            "state": "OH",
            "postal_code": "443191802",
            "telephone_number": "330-608-2647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCPHERSON",
        "first_name": "KAYLA",
        "middle_name": "M",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0031994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "KEATHLEY",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coventry Township, OH

Sources for this page

Verify at the official NPI Registry.