KELLY PERKINS (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1417667734

KELLY PERKINS (PMHNP) is a healthcare provider. based in Portsmouth, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. APRN.CNP.0038632 (OH). The NPI Number for KELLY PERKINS (PMHNP) is 1417667734

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
KELLY PERKINS (PMHNP)
NPI
1417667734
Phone
(740) 354-7702
Address
901 WASHINGTON ST
Enumeration Date
28 November 2022
Last Update Date
3 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7405330648
Graduation Year
2024 (2 years ago)
PAC ID
4981129384
Group Practice PAC ID
7012902075
Professional Enrollment ID
I20250417003309
Address ID
OH456382924CO225XXLNXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for KELLY PERKINS (PMHNP)

  • 901 WASHINGTON ST

    PORTSMOUTH, OH 456623944

    Phone: (740) 354-7702

    Type: Mailing

  • 225 CARLTON DAVIDSON LN

    COAL GROVE, OH 456382924

    Phone: (740) 354-7702

    Fax: (740) 353-1662

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-04-17

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
I20250417003309INurse 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 45662)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012902075View full group profile
NameSpecialtyState
-OH
Nurse PractitionerKY
Nurse PractitionerOH
-OH
Family PracticeOH
Mental Health CounselorOH
Mental Health CounselorKY
Mental Health CounselorOH
Mental Health CounselorOH
-OH

Reviews

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Frequently asked questions

Can I cross-check KELLY PERKINS (PMHNP) using NPI 1417667734?
NPI 1417667734 belongs to KELLY PERKINS (PMHNP); compare other details if you need extra assurance.
Is KELLY PERKINS (PMHNP) shown as active in public data?
Registry records indicate KELLY PERKINS (PMHNP) maintains an active NPI.
How would a patient describe KELLY PERKINS (PMHNP)'s focus?
For KELLY PERKINS (PMHNP), the primary taxonomy reads as Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with KELLY PERKINS (PMHNP)?
Directory geography for KELLY PERKINS (PMHNP) centers on Portsmouth, Ohio.
When was this NPI issued?
Enumeration for KELLY PERKINS (PMHNP) is noted as November 28, 2022 where the registry provides it.

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