Individual provider Active NPI

Christina Marie Pellman, MSN, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1003490442
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3017428 Issued in KY
Practice address
11909 Shelbyville Rd Ste 100
Louisville, KY 40243-1453
Phone
(502) 747-1503
Fax
(502) 237-6964
NPI assigned
May 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3017428 KY Primary

Addresses

Primary practice location

11909 Shelbyville Rd Ste 100
Louisville, KY 40243-1453

Mailing address

11909 Shelbyville Rd Ste 100
Louisville, KY 40243-1453
Phone (502) 747-1503

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230825003035 KY Practitioner - Nurse Practitioner 5991168775 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brooks Family Medical LLCGroup PAC ID 3577911569, 13 clinicians

Practice addresses (Care Compare)

11909 Shelbyville Rd
Suite 100
Louisville, KY 40243-1453
Phone (502) 747-1503

2233 Lower Hunters Trce
Louisville, KY 40216-1358
Phone (502) 357-9211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
3017428KYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. CurrentSince Apr 27, 2024 Accepting new patients
Brooks Family Medical LLC Psychiatric/Mental Health CurrentSince Aug 1, 2025 Accepting new patients
University of Louisville Physicians, Inc. Current Accepting new patients
PPL Therapeutic Services PLLC CurrentSince Aug 1, 2023 Accepting new patients
Pellmans Psychnp Practice PLLC Psychiatric/Mental Health CurrentSince Aug 4, 2025 Accepting new patients
University of Louisville Physicians, Inc. Psychiatric/Mental Health CurrentSince Apr 27, 2024 Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

100 Carmel Manor Dr
Fort Thomas, KY 41075
Phone (859) 781-5111

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

9107 Taylorsville Rd
Louisville, KY 40299
Phone (502) 380-6585

10451 Linn Station Rd
Louisville, KY 40223
Phone (502) 257-5245

11909 Shelbyville Rd
Ste 100
Louisville, KY 40243
Phone (502) 747-1503

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1003490442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11909 SHELBYVILLE RD STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431453",
            "telephone_number": "502-747-1503",
            "fax_number": "502-237-6964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11909 SHELBYVILLE RD STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431453",
            "telephone_number": "502-747-1503",
            "fax_number": "502-237-6964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLMAN",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "credential": "MSN, APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-11",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3017428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.