Individual provider Active NPI

Kelley Lynn Sega, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Mayfield Heights, OH
National Provider Identifier
1740710573
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
020472 Issued in OH
Practice address
6780 Mayfield Rd
Mayfield Heights, OH 44124-2203
Phone
(440) 312-4500
NPI assigned
Jun 14, 2017
Last updated
Nov 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 020472 OH
Primary Care Nurse Practitioner 363LP2300X 020472 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 020472 OH Primary

Addresses

Primary practice location

6780 Mayfield Rd
Mayfield Heights, OH 44124-2203

Mailing address

6780 Mayfield Rd
Mayfield Heights, OH 44124-2203
Phone (440) 312-4500

Other practice location 1

36000 Euclid Ave
Willoughby, OH 44094-4625
Phone (440) 953-9600

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
I20170928003909 OH Practitioner - Nurse Practitioner 3274808399 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 442-1270

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
020472OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Hospital System Inc CurrentSince Oct 9, 2018 Accepting new patients
The Cleveland Clinic Foundation CurrentSince Sep 27, 2023 Accepting new patients
National Youth Advocate Program, Inc CurrentSince Jun 2, 2021 Accepting new patients
Lake Hospital System, Inc CurrentSince Oct 9, 2018 Accepting new patients
National Youth Advocate Program, Inc CurrentSince Jun 2, 2021 Accepting new patients
Lake Hospital System Inc Current Accepting new patients

Locations

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

1801 Watermark Dr
Ste 200
Columbus, OH 43215

527 S High St
Columbus, OH 43215
Phone (614) 227-9444

7590 Auburn Rd
Concord Township, OH 44077
Phone (440) 354-1899

6780 Mayfield Rd
Mayfield Hts, OH 44124
Phone (440) 331-9520

9485 Mentor Ave
Ste 210
Mentor, OH 44060
Phone (440) 205-5835

10780 Kinsman Rd
Newbury, OH 44065
Phone (440) 564-5656

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

30 Northwest Ave
#A120
Tallmadge, OH 44278
Phone (330) 256-0135

36000 Euclid Ave
Willoughby Hills, OH 44094
Phone (440) 375-8166

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1740710573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6780 MAYFIELD RD",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441242203",
            "telephone_number": "440-312-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6780 MAYFIELD RD",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441242203",
            "telephone_number": "440-312-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36000 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Willoughby",
            "state": "OH",
            "postal_code": "440944625",
            "country_code": "US",
            "telephone_number": "440-953-9600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEGA",
        "first_name": "KELLEY",
        "middle_name": "LYNN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-14",
        "last_updated": "2023-11-28",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "020472",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OH",
            "license": "020472",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "020472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayfield Heights, OH

Sources for this page

Verify at the official NPI Registry.