DARREN LUMLEY NP
NPI 1679249650
Nurse Practitioner - Psychiatric/Mental Health in Middleburg Heights, OH

Active since August 19, 2021PECOS EnrolledAccepts Medicare Assignment
7265 OLD OAK BLVD, MIDDLEBURG HEIGHTS, OH 44130(440) 816-5790 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 9, 2025, May 20, 2025, Aug 19, 2021 (3 updates tracked since 2021).

About Darren Lumley Np NPPES

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

DARREN LUMLEY NP (NPI 1679249650) is an individual psychiatric/mental health provider in Middleburg Heights, Ohio, licensed in Georgia (RN302455) and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS, is affiliated with Southwest General Health Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1679249650
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameDARREN LUMLEYCredential: NP
Location Address7265 OLD OAK BLVDMiddleburg Heights, OH 44130-3342
Mailing Address7265 Old Oak BlvdMiddleburg Heights, OH 44130-3342
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 19, 2021
Last NPPES UpdateSeptember 9, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2025
✔ NPI 1679249650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in GA · RN302455
7265 OLD OAK BLVD, Middleburg Heights, OH 44130

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Darren Lumley Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577936996
PECOS Enrollment IDI20250805001565
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

2

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

Internal Medicine
7255 OLD OAK BLVD STE C202
Cleveland, OH 44130
  • Reassigned Medicare billing, Ohio enrollment
  • 283 clinicians in this Medicare group
Psychiatry
250 CORPORATE CENTER CT
Stockbridge, GA 30281
  • Reassigned Medicare billing, Georgia enrollment
  • 592 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Southwest General Health Center

Acute Care Hospitals · Middleburg Heights, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360155
Location18697 Bagley RoadMiddleburg Heights, OH 44130 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44130 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.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
7265 OLD OAK BLVD
CLEVELAND, OH 44130
Counselor (Addiction (Substance Use Disorder))
7265 OLD OAK BLVD
CLEVELAND, OH 44130
Nurse Practitioner (Psychiatric/Mental Health)
7265 OLD OAK BLVD
CLEVELAND, OH 44130
Psychiatry & Neurology (Psychiatry)
7265 OLD OAK BLVD
CLEVELAND, OH 44130
Registered Nurse
7265 OLD OAK BLVD
CLEVELAND, OH 44130
Social Worker (Clinical)
7265 OLD OAK BLVD
CLEVELAND, OH 44130
Psychiatric Unit
7265 OLD OAK BLVD
MIDDLEBURG HTS, OH 44130
Registered Nurse
7265 OLD OAK BLVD
CLEVELAND, OH 44130

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 Darren Lumley's NPI number?

The NPI number for Darren Lumley is 1679249650. It was assigned to this individual provider in the NPPES registry on August 19, 2021.

Where is Darren Lumley located?

Darren Lumley practices at 7265 Old Oak Blvd, Middleburg Heights, OH 44130. The listed phone number is (440) 816-5790.

What is Darren Lumley's specialty?

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

Is Darren Lumley enrolled in Medicare?

Yes. Darren Lumley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Darren Lumley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Darren Lumley reassigns Medicare benefits to 2 organizations: Southwest General Medical Group Inc (Cleveland, OH) and Personal Recovery Network LLC (Stockbridge, GA). 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 Darren Lumley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Darren Lumley accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Oscar Health Insurance and 1 other insurer list Darren Lumley 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.

Is Darren Lumley affiliated with any hospitals?

According to CMS data, Darren Lumley is affiliated with Southwest General Health Center.

When was this NPI record last updated?

The NPPES record for Darren Lumley was last updated on September 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.