Individual provider Active NPI

Kelly Lynn Neff, CRNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Cumberland, MD
National Provider Identifier
1295414258
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R152601 Issued in MD
Practice address
618 N Mechanic St
Cumberland, MD 21502-2113
Phone
(301) 876-4889
Fax
(240) 362-7118
NPI assigned
Jul 17, 2023
Last updated
Jul 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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 R152601 MD Primary

Addresses

Primary practice location

618 N Mechanic St
Cumberland, MD 21502-2113

Mailing address

618 N Mechanic St
Cumberland, MD 21502-2113
Phone (301) 876-4889

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20230928000031 MD Practitioner - Nurse Practitioner 9537513346 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lukas Behavioral Health LLCGroup PAC ID 3971995911, 7 clinicians

Practice addresses (Care Compare)

618 N Mechanic St
Cumberland, MD 21502-2113
Phone (301) 876-4889

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R152601MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lukas Behavioral Health LLC Psychiatric/Mental Health CurrentSince Aug 29, 2023 Accepting new patients

Locations

618 N Mechanic St
Cumberland, MD 21502
Phone (301) 298-9671

Organizations & group practices 1

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": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1295414258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 N MECHANIC ST",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022113",
            "telephone_number": "301-876-4889",
            "fax_number": "240-362-7118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 N MECHANIC ST",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022113",
            "telephone_number": "301-876-4889",
            "fax_number": "240-362-7118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEFF",
        "first_name": "KELLY",
        "middle_name": "LYNN",
        "credential": "CRNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R152601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

Verify at the official NPI Registry.