KELLY LYNN SPROUT (M.D.) – Psychiatry Physician, NPI 1659422129

KELLY LYNN SPROUT (M.D.) is a healthcare provider. based in Sandusky, Ohio. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. 72088 (OH). The NPI Number for KELLY LYNN SPROUT (M.D.) is 1659422129

Main info

Female
Sole Proprietor
31 Years Of Experience
Name
KELLY LYNN SPROUT (M.D.)
NPI
1659422129
Phone
(419) 557-5177
Address
1925 HAYES AVE
Enumeration Date
13 January 2007
Last Update Date
5 December 2019

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
1995 (31 years ago)
PAC ID
2769496561
Professional Enrollment ID
I20060201000097
Address ID
OH448704737SA1925XAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,247 PSYCHIATRY in OH

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Provider Addresses for KELLY LYNN SPROUT (M.D.)

  • 1925, Hayes Avenue, Fremont, Sandusky County, Ohio, 43420, United States

    SANDUSKY, OH 448704737

    Phone: (419) 557-5177

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 135 Open Payments records for all available years, with a total value of $2,339.

Total Amount is formed as General ($2,339) + Research ($0) + Ownership ($0) = $2,339.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($504).

Total Amount

$2,339

General + Research + Ownership

Payments

135

Total payment records

General Amount

$2,339

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

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: 2006-02-01

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
I20060201000097IPsychiatryOHTBD

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 44870)

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Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

How is KELLY LYNN SPROUT (M.D.) identified in CMS data?
CMS-hosted NPPES data lists KELLY LYNN SPROUT (M.D.) with NPI 1659422129.
Can I rely on KELLY LYNN SPROUT (M.D.) being an active provider?
As of the registry snapshot, KELLY LYNN SPROUT (M.D.) is marked active.
What is KELLY LYNN SPROUT (M.D.)'s specialty?
The listing groups KELLY LYNN SPROUT (M.D.) with Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Does KELLY LYNN SPROUT (M.D.) list a practice location?
Patients near Sandusky, Ohio may find KELLY LYNN SPROUT (M.D.) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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