Kathryn Megan Kenarney, CNP
Individual provider Active NPI Gerontology Nurse Practitioner · Warrensville Heights, OH
NPI 1346354008 · NPPES record last updated May 24, 2013
Key facts
- NPI
- 1346354008
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gerontology Nurse Practitioner 363LG0600X
- License
- NP07417 (OH)
- Practice address
- 20050 Harvard Ave Ste 304
Warrensville Heights, OH 44122-6816 - Phone
- (216) 283-0750
- NPI assigned
- Aug 19, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Encore Clinical Services LLC
Northern Ohio Internal Medicine Associates, Inc.
Wissam Khoury DPM LLC
Practice addresses (Care Compare)
12301 Ridge Rd
North Royalton, OH 44133-3744
Phone (216) 331-6750
20050 Harvard Ave
Suite 304
Warrensville Heights, OH 44122-6800
Phone (216) 283-0750
2475 E 22ND St
Suite 120
Cleveland, OH 44115-3221
Phone (216) 367-9444
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041110000519 | OH | Practitioner - Nurse Practitioner | 0244293298 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP07417 | OH | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Encore Clinical Services LLC | Gerontology | Current |
Accepting new patients |
| Lake Effect Health | Current | Accepting new patients | |
| Wound Care Consultants LLC | Gerontology | Current |
Accepting new patients |
| Health Care Group Providers LLC | Past | Accepting new patients |
Locations
12301 Ridge Rd
North Royalton, OH 44133
Phone (216) 331-6750
6789 Ridge Rd
Ste 305
Parma, OH 44129
Phone (440) 491-8334
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | NP07417 | OH | Yes |
Addresses
Primary practice location
20050 Harvard Ave Ste 304
Warrensville Heights, OH 44122-6816
Mailing address
3360 Lansmere Rd
Shaker Heights, OH 44122-3406
Phone (216) 554-1155
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00140809 | Other | OH | RAILROAD MEDICARE(OH) |
| 000000360237 | Other | OH | ANTHEM (OH) |
| 2422588 | Medicaid | OH | |
| 000000360237 | Other | OH | UNICARE(OH) |
Other providers in Warrensville Heights, OH
- Rivka Katz
- Cynthia Mary Katzan
- Katelyn Kelley
- Michael Lee Kelley
- Jacsun Jaims Kellogg
- Lisa Kenney
- Ursula A Kenney
- Fiona Kessler
- Brandon Keyes
- Joshua Keyes
All providers in Warrensville Heights, OH · Gerontology Nurse Practitioner in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.