Caleb Alan Acord, PMHNP-BC

Key facts

NPI: 1356100663
Entity type: Individual (NPI type 1)
Primary specialty: Psychiatric/Mental Health Nurse Practitioner 363LP0808X
License: APRN.CNP.0036068 (OH)
Practice address: 79 Farmer Rd
Piketon, OH 45661-9536
Phone: (740) 222-8806
NPI assigned: Mar 18, 2024
Sex: Male
Sole proprietor: Yes

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 and National Provider Directory roles.

Riveon Mental Health and Recovery Mental Health Clinic/Center (Including Community Mental Health Center) · Lorain, OH · NPI 1841268281

Medicare reassignment Care Compare group OH

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2023
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Telehealth: Offers telehealth services
Group practices: Riveon Mental Health and Recovery (30 clinicians)

Practice addresses (Care Compare)

6140 S Broadway
Lorain, OH 44053-3821
Phone (440) 233-7232

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
I20260403000554	OH	Practitioner - Nurse Practitioner	8325523632	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
APRN.CNP.0036068	OH	MD	Psychiatric/Mental Health Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Psychiatric/Mental Health Nurse Practitioner Group: 193400000X SINGLE SPECIALTY GROUP	363LP0808X	APRN.CNP.0036068	OH	Yes

Addresses

Primary practice location

79 Farmer Rd
Piketon, OH 45661-9536

Mailing address

79 Farmer Rd
Piketon, OH 45661-9536
Phone (740) 222-8806

Other providers in Piketon, OH

All providers in Piketon, OH · Psychiatric/Mental Health 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 Mar 18, 2024. 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.

Verify at the official NPI Registry.