Kelly Hurst, PMHMP - Medicare Nurse Practitioner in Beachwood, OH

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Kelly Hurst, PMHMP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Beachwood, Ohio. Her current practice location is 23715 Mercantile Rd Ste A203, Beachwood, Ohio. You can reach out to her office (for appointments etc.) via phone at (216) 292-2880.

Kelly Hurst is licensed to practice in Ohio (license number RN.382670) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1356971824.

Contact Information

Kelly Hurst, PMHMP
23715 Mercantile Rd Ste A203,
Beachwood, OH 44122-5918
(216) 292-2880
Not Available

Map and Direction




Provider's Profile

Full NameKelly Hurst
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location23715 Mercantile Rd Ste A203, Beachwood, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1356971824
  • Provider Enumeration Date: 01/23/2020
  • Last Update Date: 04/01/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6709216369
  • Enrollment ID: I20200422000924

Medical Identifiers

Medical identifiers for Kelly Hurst such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356971824NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WG0000XRegistered Nurse - General Practice RN.368487 (Ohio)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health RN.382670 (Ohio)Primary

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 Hurst 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
Entity NameSignature Health, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679767289
PECOS PAC ID: 8628970985
Enrollment ID: O20040126000762

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 Hurst 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 Hurst, PMHMP
23715 Mercantile Rd Ste A203,
Beachwood, OH 44122-5918

Ph: (216) 292-2880		Kelly Hurst, PMHMP
23715 Mercantile Rd Ste A203,
Beachwood, OH 44122-5918

Ph: (216) 292-2880

Reviews and Comments


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Amrithpal Kaur Brar,
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Ms. Sally Ann Yozipovich, RN, CNP
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Mrs. Samantha May Wilson, NP
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Phone: 216-255-5201    
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Phone: 216-839-3000    

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.