KYRA PACER (PMHCNS) – Adult Psychiatric/Mental Health Clinical Nurse Specialist, NPI 1588910418
Adult Psychiatric/Mental Health Clinical Nurse Specialist
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Profile Insights
NPPES metrics only — not quality of care.
228 CERTIFIED CLINICAL NURSE SPECIALIST (CNS) in OH
Provider Addresses for KYRA PACER (PMHCNS)
340 S BROADWAY ST
AKRON, OH 443081529
Phone: (330) 253-3100
Fax: (330) 253-5248
Type: Mailing
10524 EUCLID AVE
CLEVELAND, OH 441062205
Phone: (216) 844-2400
Fax: (216) 844-1703
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.
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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: 2012-10-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-10-31 (952 days ago).
Enrollment records
1
Earliest due date
2023-10-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20121011000321 | I | Certified Clinical Nurse Specialist (Cns) | OH | 2023-10-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 254 | 102 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 86 | 58 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 29 | 27 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 25 | 25 | $0 |
Insurance plans in this area (ZIP 44308)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CERTIFIED CLINICAL NURSE SPECIALIST | OH | 90792 | Psychiatric diagnostic evaluation with medical services | 77 | 77 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| Internal Medicine | OH | |
| Clinical Social Worker | MI | |
| - | OH | |
| Clinical Social Worker | OH | |
| Clinical Social Worker | OH | |
| Nurse Practitioner | OH | |
| - | OH | |
| Clinical Social Worker | OH | |
| Clinical Psychologist | OH |
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