Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly Ann Mash

Individual provider Family Nurse Practitioner · NPI 1336984194

Kelly Ann Mash is a Nurse Practitioner in Lorain, Ohio. Qualified in 2024, 2 years ago. Practices with Allen Emergency Physicians LLC, a 13-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
2
Licensed in
OH
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

3700 Kolbe Rd
Lorain, OH 44053-1611
Phone: (216) 644-6621
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence APRN.CNP.0036816 (OH)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN.CNP.0036816 (OH)

Record details

NPI number1336984194
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 25, 2024
Last updated in NPPESJuly 23, 2024
Certification dateJuly 23, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Allen Emergency Physicians Llc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Lorain