KELLY D BRILL (APRN, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1275206039

KELLY D BRILL (APRN, PMHNP-BC) is a healthcare provider. based in Independence, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, PMHNP-BC. They hold a License No. RN.384208 (OH). The NPI Number for KELLY D BRILL (APRN, PMHNP-BC) is 1275206039

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
KELLY D BRILL (APRN, PMHNP-BC)
NPI
1275206039
Phone
(440) 864-2802
Address
6100 Oak Tree Blvd Ste 200
Enumeration Date
28 July 2021
Last Update Date
22 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4408642802
Graduation Year
2022 (4 years ago)
PAC ID
1850768987
Professional Enrollment ID
I20221102003032
Address ID
OH441458147WE159XXBLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:4State licenses:2Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for KELLY D BRILL (APRN, PMHNP-BC)

  • 6100 Oak Tree Blvd Ste 200

    Independence, OH 441316914

    Phone: (440) 864-2802

    Fax: (440) 287-6137

    Type: Location

  • 8853 JORDAN CT

    NORTH RIDGEVILLE, OH 440399708

    Phone: (216) 536-6137

    Type: Mailing

  • 26777 LORAIN RD STE 716

    NORTH OLMSTED, OH 440703221

    Phone: (440) 777-9200

    Type: Location

  • 159 CROCKER PARK BLVD STE 400

    WESTLAKE, OH 441458147

    Phone: (440) 864-2802

    Fax: (440) 287-6137

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $288.

Total Amount is formed as General ($288) + Research ($0) + Ownership ($0) = $288.

Last reported payment date: 2024-12-14 • Largest payer in this snapshot: ITI, Inc. ($124).

Total Amount

$288

General + Research + Ownership

Payments

5

Total payment records

General Amount

$288

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-14

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ITI, Inc.$124
ABBVIE INC.$121
Tris Pharma Inc$43
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-11-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221102003032INurse PractitionerOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44131)

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Reviews

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Frequently asked questions

Is there an official ID for KELLY D BRILL (APRN, PMHNP-BC) in U.S. healthcare records?
The official identifier for KELLY D BRILL (APRN, PMHNP-BC) is NPI 1275206039.
Is KELLY D BRILL (APRN, PMHNP-BC) shown as active in public data?
Registry records indicate KELLY D BRILL (APRN, PMHNP-BC) maintains an active NPI.
What expertise is attributed to KELLY D BRILL (APRN, PMHNP-BC)?
KELLY D BRILL (APRN, PMHNP-BC)'s specialty line reads Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with KELLY D BRILL (APRN, PMHNP-BC)?
Directory geography for KELLY D BRILL (APRN, PMHNP-BC) centers on Independence, Ohio.
When was this NPI issued?
Enumeration for KELLY D BRILL (APRN, PMHNP-BC) is noted as July 28, 2021 where the registry provides it.

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