Individual provider Active NPI

Kelly J Barsha, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Marion, IN
National Provider Identifier
1629636832
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
71008983A Issued in IN
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

Updated by the provider on Mar 31, 2022

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 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, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
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 LLCGroup PAC ID 9638564750, 18 clinicians
Grant-Blackford Mental Health, Inc.Group PAC ID 9739177528, 20 clinicians

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 Hospital, Muncie, IN, CCN 150089
  • Marion General Hospital Hospital, Marion, IN, CCN 150011

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71008983AINMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grant-Blackford Mental Health, Inc. CurrentSince May 30, 2019 Accepting new patients
Family Psychiatric Center LLC Psychiatric/Mental Health CurrentSince Mar 1, 2022 Accepting new patients
Grant-Blackford Mental Health, Inc. CurrentSince May 30, 2019 Accepting new patients
Mending Minds, LLC CurrentSince Mar 1, 2022 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

  • FHIR API: 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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.