KELLY HURST PMHMP
NPI 1356971824
Nurse Practitioner - Psychiatric/Mental Health in Madison, OH

Q: What is Kelly Hurst's NPI number?

The NPI number for Kelly Hurst is 1356971824. It was assigned to this individual provider in the NPPES registry on January 23, 2020.

Q: What is Kelly Hurst's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Hurst was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 23, 2020PECOS Enrolled

3142 BATES RD, MADISON, OH 44057(440) 307-0289(440) 417-1644 Get Directions Write a Review

NPPES record last updated: August 27, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 27, 2026, Apr 1, 2021, Jul 9, 2020 and 2 more (5 updates tracked since 2020).

On this page

About Kelly Hurst Pmhmp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY HURST PMHMP (NPI 1356971824) is an individual psychiatric/mental health provider in Madison, Ohio, licensed in Ohio (RN.382670) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Painesville.

NPPES Registry Identity

NPI1356971824

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameKELLY HURSTCredential: PMHMP

Location Address3142 BATES RDMadison, OH 44057-9727

Mailing Address3142 Bates RdMadison, OH 44057-9727 · (440) 307-0289 · Fax (440) 417-1644

Phone(440) 307-0289

Fax(440) 417-1644

Sole ProprietorYes

Enumeration DateJanuary 23, 2020

Last NPPES UpdateAugust 27, 20265 updates tracked since enumeration

NPPES CertifiedAugust 27, 2026

✔ NPI 1356971824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in OH · RN.382670

Also ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X · License RN.368487 (OH)

3142 BATES RD, Madison, OH 44057

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Secondary Practice Location 1

Location 154 S State StPainesville, OH 44077-3445 · Phone (440) 853-1501 · Fax (440) 853-1487

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, MedMutual.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Hurst Pmhmp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Kelly Hurst reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lake Hospital System, Inc

2.0 mi

Urgent Care

6270 N RIDGE RD
Madison, OH 44057

Reassigned Medicare billing, Ohio enrollment
285 clinicians in this Medicare group

NPI 1134189376 (440) 428-8256

Signature Health, Inc

14 mi

Mental Health (Including Community Mental Health Center)

4200 PARK AVE, 2ND FLOOR
Ashtabula, OH 44004

Reassigned Medicare billing, Ohio enrollment
342 clinicians in this Medicare group

NPI 1407879406 (440) 992-8552

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44057 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Hurst's NPI number?

The NPI number for Kelly Hurst is 1356971824. It was assigned to this individual provider in the NPPES registry on January 23, 2020.

Where is Kelly Hurst located?

Kelly Hurst practices at 3142 Bates Rd, Madison, OH 44057. The listed phone number is (440) 307-0289.

What is Kelly Hurst's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kelly Hurst enrolled in Medicare?

Yes. Kelly Hurst is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kelly Hurst's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Hurst reassigns Medicare benefits to 2 organizations: Lake Hospital System, Inc (Madison, OH) and Signature Health, Inc (Ashtabula, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Hurst's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Hurst accept?

Health plans from Anthem Blue Cross and Blue Shield and MedMutual list Kelly Hurst as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Hurst was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.