Active NPI
Kelly J Barsha, APN
- Psychiatric/Mental Health Nurse Practitioner
- Marion, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 71008983A
- Practice address
- 505 N Wabash Ave
Marion, IN 46952-2608 - Phone
- (765) 662-3971
- NPI assigned
- Jun 3, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 71008983A | IN | Primary |
Addresses
Primary practice location
505 N Wabash Ave
Marion, IN 46952-2608
Mailing address
505 N Wabash Ave
Marion, IN 46952-2608
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190619002610 | IN | Practitioner - Nurse Practitioner | 7719211093 | Reassigns benefits to 4 organizations |
| I20241113002638 | FL | Practitioner - Nurse Practitioner | 7719211093 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- My Mobile MD Psychiatric Services LLCGrant-Blackford Mental Health, Inc.
Practice addresses (Care Compare)
429 E Vermont St
Suite 110
Indianapolis, IN 46202-3685
Phone (317) 559-0950
505 N Wabash Ave
Marion, IN 46952-2608
Phone 7656686713164
Hospital & facility affiliations
- Indiana University Health Ball Memorial Hospital
- Marion General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71008983A | IN | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grant-Blackford Mental Health, Inc. | Current | Accepting new patients | |
| Family Psychiatric Center LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Grant-Blackford Mental Health, Inc. | Current | Accepting new patients | |
| Mending Minds, LLC | Current | Accepting new patients |
Locations
410 Pilgrim Blvd
Ste 1000
Hartford City, IN 47348
410 Pilgrim Blvd
Ste 100
Hartford City, IN 47348
Phone (765) 348-1303
1311 W 96th St
Ste 110
Indianapolis, IN 46260
Phone (317) 296-7707
702 W Alto Rd
Kokomo, IN 46902
Phone (765) 453-7422
3010 S Adams St
Marion, IN 46953
Phone (765) 662-3971
505 N Wabash Ave
Marion, IN 46952
Phone (765) 662-3971
101 S Washington St
Marion, IN 46952
Phone (765) 662-9971
116 E 32nd St
Marion, IN 46953
Phone (765) 662-2039
Interoperability endpoints
- https://api.platform.athenahealth.com/24167/brand/1/csg/1/fhir/r4
Organizations & group practices 7
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.
-
- Psychiatry Physician
- Kokomo, IN
- NPI 1245302934
Psychiatric/Mental Health
-
- Community/Behavioral Health Agency
- Marion, IN
- NPI 1437983103
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Muncie, IN
- NPI 1225195340
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648684800000",
"number": "1629636832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 N WABASH AVE",
"city": "MARION",
"state": "IN",
"postal_code": "469522608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 N WABASH AVE",
"city": "MARION",
"state": "IN",
"postal_code": "469522608",
"telephone_number": "765-662-3971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARSHA",
"first_name": "KELLY",
"middle_name": "J",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-03",
"last_updated": "2022-03-31",
"certification_date": "2022-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IN",
"license": "71008983A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marion, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.