KELLY LIUFEN LIU (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1922781046

KELLY LIUFEN LIU (PMHNP) is a healthcare provider. based in Cleveland, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. 2023018844 (OH). The NPI Number for KELLY LIUFEN LIU (PMHNP) is 1922781046

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
KELLY LIUFEN LIU (PMHNP)
NPI
1922781046
Phone
(216) 543-6261
Address
1374 E 31ST ST
Enumeration Date
8 August 2023
Last Update Date
8 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4409738400
Graduation Year
2023 (3 years ago)
PAC ID
8224488515
Group Practice PAC ID
9436553716
Professional Enrollment ID
I20231228002980
Address ID
OH441303483MI18660RDXX307
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for KELLY LIUFEN LIU (PMHNP)

  • 1374 E 31ST ST

    CLEVELAND, OH 441144025

    Phone: (216) 543-6261

    Type: Mailing

  • 18660 BAGLEY RD STE 101

    MIDDLEBURG HEIGHTS, OH 441303483

    Phone: (440) 973-8400

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 27 Open Payments records for all available years, with a total value of $1,179.

Total Amount is formed as General ($1,179) + Research ($0) + Ownership ($0) = $1,179.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($343).

Total Amount

$1,179

General + Research + Ownership

Payments

27

Total payment records

General Amount

$1,179

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2023-12-28

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
I20231228002980INurse 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 44114)

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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: 9436553716View full group profile
NameSpecialtyState
Certified Clinical Nurse Specialist (Cns)OH
Nurse PractitionerOH
Nurse PractitionerOH
Mental Health CounselorOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

How is KELLY LIUFEN LIU (PMHNP) identified in CMS data?
CMS-hosted NPPES data lists KELLY LIUFEN LIU (PMHNP) with NPI 1922781046.
Is KELLY LIUFEN LIU (PMHNP) listed as active for patients and plans?
The listing shows KELLY LIUFEN LIU (PMHNP) as active in the NPI system.
What is KELLY LIUFEN LIU (PMHNP)'s specialty?
The listing groups KELLY LIUFEN LIU (PMHNP) with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does KELLY LIUFEN LIU (PMHNP) serve?
KELLY LIUFEN LIU (PMHNP)'s listing highlights Cleveland, Ohio; more addresses can appear in NPPES.
Is the information about KELLY LIUFEN LIU (PMHNP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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