Active NPI
Patricia Kelly, C.N.P.
- Family Nurse Practitioner
- Painesville, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 144814
- Practice address
- 7580 Auburn Rd
Suite 202
Painesville, OH 44077-9615 - Phone
- (440) 352-0400
- Fax
- (440) 352-4535
- NPI assigned
- Aug 21, 2007
- Last updated
- Mar 3, 2021
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 144814 | OH | Primary |
Addresses
Primary practice location
7580 Auburn Rd
Suite 202
Painesville, OH 44077-9615
Mailing address
7580 Auburn Rd
Suite 202
Painesville, OH 44077-9615
Phone (440) 352-0400
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | patricia.kelly@lhpg.eclinicaldirectplus.com | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Pacific University - College of Optometry, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
36500 Euclid Ave
Willoughby, OH 44094-4455
Phone (440) 516-0530
7580 Auburn Rd
Concord Township, OH 44077-9617
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 144814 | OH | MD | Family Nurse Practitioner |
| APRN.CNP.04543 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Hospital System, Inc. | Current | Accepting new patients | |
| Lake Hospital System, Inc | Current | Accepting new patients | |
| Lake Hospital System Inc | Current | Accepting new patients | |
| Lake Hospital System, Inc | Past | Accepting new patients |
Locations
7515 Fredle Dr
Concord Township, OH 44077
Phone (440) 352-0400
7580 Auburn Rd
Ste 202
Concord Township, OH 44077
Phone (440) 352-0400
8300 Tyler Blvd
Ste 300
Mentor, OH 44060
Phone (440) 205-1529
10780 Kinsman Rd
Newbury, OH 44065
Phone (440) 564-5656
Interoperability endpoints
- pkelly28105@ehrdirect.uhhospitals.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Middlefield, OH
- NPI 1952339996
-
dba Lake Health Urgent Care and Walk In Clinic
- Urgent Care Clinic/Center
- Chardon, OH
- NPI 1689634966
-
dba Lake Health Physician Group Vascular Access Surgery
- Vascular Surgery Physician
- Warrensville Heights, OH
- NPI 1669609756
-
- Urgent Care Clinic/Center
- Madison, OH
- NPI 1134189376
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chardon, OH
- NPI 1669562864
-
dba Uhcmc
- General Acute Care Hospital
- Cleveland, OH
- NPI 1043397292
-
dba University Hospitals Mentor Health Center
- Multi-Specialty Clinic/Center
- Mentor, OH
- NPI 1487770335
Hospital
-
dba University Hospitals Westlake Health Center
- Multi-Specialty Clinic/Center
- Westlake, OH
- NPI 1669598082
Hospital
-
- Critical Access Hospital
- Geneva, OH
- NPI 1225128432
-
dba UH Case Medical Center
- Clinic/Center
- Cleveland, OH
- NPI 1760673412
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614729600000",
"number": "1639362916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7580 AUBURN RD",
"address_2": "SUITE 202",
"city": "PAINESVILLE",
"state": "OH",
"postal_code": "440779615",
"telephone_number": "440-352-0400",
"fax_number": "440-352-4535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7580 AUBURN RD",
"address_2": "SUITE 202",
"city": "PAINESVILLE",
"state": "OH",
"postal_code": "440779615",
"telephone_number": "440-352-0400",
"fax_number": "440-352-4535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "PATRICIA",
"credential": "C.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-21",
"last_updated": "2021-03-03",
"certification_date": "2021-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "144814",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "patricia.kelly@lhpg.eclinicaldirectplus.com",
"affiliation": "N",
"endpointDescription": "Baseline West Direct Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "7580 Auburn Rd",
"address_2": "Suite 202",
"city": "Painesville",
"state": "OH",
"country_code": "US",
"postal_code": "440779615",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Painesville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.