Individual provider Active NPI

Lindsey Jeong Hee Kershaw, MSN, RN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Cleveland, OH
National Provider Identifier
1396168449
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
NP-15201 Issued in OH
Practice address
10524 Euclid Ave
Cleveland, OH 44106-2205
Phone
(216) 844-2400
NPI assigned
Jan 27, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2020

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 NP-15201 OH Primary

Addresses

Primary practice location

10524 Euclid Ave
Cleveland, OH 44106-2205

Mailing address

38998 Arbor CT
Grafton, OH 44044-1056
Phone (440) 829-0878

Other practice location 1

7265 Old Oak Blvd
Middleburg Heights, OH 44130
Phone (440) 816-8200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lindseykershaw@uhps.allscriptsdirect.net

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
I20140418000641 OH Practitioner - Nurse Practitioner 9931331253 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
NP-15201OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System CurrentSince Feb 1, 2019 Accepting new patients
University Hospitals Medical Group Inc CurrentSince Oct 1, 2020 Accepting new patients
The Metrohealth System CurrentSince Feb 1, 2019 Accepting new patients
Signature Health, Inc. Current Accepting new patients
Signature Health Inc CurrentSince Oct 11, 2023 Accepting new patients
Signature Health, Inc CurrentSince Oct 11, 2023 Accepting new patients

Locations

10524 Euclid Ave
Cleveland, OH 44106
Phone (216) 844-3881

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

3950 Chester Ave
Cleveland, OH 44114
Phone (216) 431-4131

11100 Euclid Ave
Cleveland Heights, OH 44106

21100 Southgate Park Blvd
Maple Heights, OH 44137
Phone (216) 663-6100

7232 Justin Way
Mentor, OH 44060
Phone (440) 488-2855

7255 Old Oak Blvd
Ste C202
Middleburg Heights, OH 44130
Phone (440) 816-5390

38882 Mentor Ave
Willoughby, OH 44094

38876 Mentor Ave
Willoughby, OH 44094
Phone (440) 954-3333

Interoperability endpoints

  • Direct secure messaging: lkershaw666150@direct.ochin.org
  • Direct secure messaging: lkershaw27791@ehrdirect.uhhospitals.org

Organizations & group practices 6

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": "1390780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1396168449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38998 ARBOR CT",
            "city": "GRAFTON",
            "state": "OH",
            "postal_code": "440441056",
            "telephone_number": "440-829-0878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10524 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441062205",
            "telephone_number": "216-844-2400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7265 Old Oak Blvd",
            "address_purpose": "LOCATION",
            "city": "Middleburg Heights",
            "state": "OH",
            "postal_code": "44130",
            "country_code": "US",
            "telephone_number": "440-816-8200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERSHAW",
        "first_name": "LINDSEY",
        "middle_name": "JEONG HEE",
        "name_prefix": "Mrs.",
        "credential": "MSN, RN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-27",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "NP-15201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lindseykershaw@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "10524 Euclid Ave",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441062205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.