JACLYN A LANHAM (NP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1609178755
Psychiatric/Mental Health Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JACLYN A LANHAM (NP)
20 S 3RD ST STE 210
COLUMBUS, OH 432154206
Phone: (720) 902-9298
Fax: (330) 305-2878
Type: Mailing
3004 HAYES AVE
SANDUSKY, OH 448705321
Phone: (419) 609-1112
Fax: (419) 609-1123
Type: Mailing
5319 HOAG DR
SUITE 111
SHEFFIELD VILLAGE, OH 440351494
Phone: (440) 934-2272
Fax: (440) 934-3416
Type: Location
12395 MCCRACKEN RD UNIT A-UP
GARFIELD HEIGHTS, OH 441252967
Phone: (216) 587-6727
Fax: (216) 587-8347
Type: Location
4000 Faber Place Dr Ste 300
Charleston, SC 294058587
Phone: (330) 305-2774
Fax: (330) 305-2878
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: 2010-12-21
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101221000706 | I | Nurse Practitioner | OH | TBD |
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.
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 43215)
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