Kelly A Siegel, CNP - Medicare Nurse Practitioner in Mentor, OH

Kelly A Siegel, CNP is a medicare enrolled "Nurse Practitioner" in Mentor, Ohio. She graduated from nursing school in 1998 and has 26 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Lake Hospital System, Inc. and her current practice location is 9485 Mentor Ave, Mentor, Ohio. You can reach out to her office (for appointments etc.) via phone at (440) 255-5571.

Kelly A Siegel is licensed to practice in Ohio (license number NP-04339) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1427075415.

Contact Information

Kelly A Siegel, CNP
9485 Mentor Ave,
Mentor, OH 44060-1716
(440) 255-5571
Not Available

Map and Direction




Provider's Profile

Full NameKelly A Siegel
GenderFemale
SpecialityNurse Practitioner
Experience26 Years
Location9485 Mentor Ave, Mentor, Ohio
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelly A Siegel graduated from nursing school in 1998
  NPI Data:
  • NPI Number: 1427075415
  • Provider Enumeration Date: 07/16/2006
  • Last Update Date: 03/01/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3072607746
  • Enrollment ID: I20070926000279

Medical Identifiers

Medical identifiers for Kelly A Siegel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427075415NPI-NPPES
2160683MedicaidOH
000000224469OtherOHUNISON
000000539712OtherOHANTHEM
740018OtherOHBUCKEYE
746018OtherOHBUCKEYE
364120OtherOHWELLCARE
7240712OtherAETNA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner NP-04339 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lake HealthConcord, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lake Hospital System, Inc.6002713922140

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelly A Siegel allows following entities to bill medicare on her behalf.
Entity NameLake Hospital System, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952339996
PECOS PAC ID: 6002713922
Enrollment ID: O20031217000963

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly A Siegel is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelly A Siegel, CNP
9485 Mentor Ave Suite 210,
Mentor, OH 44060

Ph: (440) 255-5571
Kelly A Siegel, CNP
9485 Mentor Ave,
Mentor, OH 44060-1716

Ph: (440) 255-5571

Reviews and Comments


Nurse Practitioner Nurses in Mentor, OH

Gina Lynn Berardinelli, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 9485 Mentor Ave Ste 102, Mentor, OH 44060
Phone: 440-266-5500    Fax: 440-266-5505
Mrs. Christina Scott, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 9485 Mentor Ave, Ste 210, Mentor, OH 44060
Phone: 440-255-5571    Fax: 440-205-5744
Blake Wollam,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 7060 Wayside Dr, Mentor, OH 44060
Phone: 440-357-2770    
Mrs. Brittany Louise Skinner, C.N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 9485 Mentor Avenue, Suite 210, Mentor, OH 44060
Phone: 440-255-5571    Fax: 440-205-5744
Robin Jean Mills, PMHNP-BC, RN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 7232 Justin Way, Mentor, OH 44060
Phone: 440-578-8200    
Carrie L Cales, CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 8877 Mentor Ave, Mentor, OH 44060
Phone: 440-205-1225    
Shari Lynn Chavis, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 7350 Industrial Park Blvd, Mentor, OH 44060
Phone: 216-732-9480    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.