Individual provider Active NPI

Kristen Renee Ryan, FNP-C

  • Family Nurse Practitioner
  • Springfield, KY
National Provider Identifier
1013526417
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3014871 Issued in KY
Practice address
805 Bardstown Rd Ste 12
Springfield, KY 40069-1515
Phone
(859) 481-7113
Fax
(859) 481-7114
NPI assigned
Jul 31, 2020
Last updated
Dec 1, 2025By the provider in NPPES
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
Family Nurse Practitioner 363LF0000X 3014871 KY Primary

Addresses

Primary practice location

805 Bardstown Rd Ste 12
Springfield, KY 40069-1515

Mailing address

805 Bardstown Rd Ste 12
Springfield, KY 40069-1515

Other names 1

  • Mrs. Kristen Renee Brown Former name

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
I20200805001206 KY Practitioner - Nurse Practitioner 9537584727 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Wellcare Clinic PLLCGroup PAC ID 4688940240, 2 clinicians

Practice addresses (Care Compare)

805 Bardstown Rd
Suite 12
Springfield, KY 40069-1515
Phone (859) 481-7113

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kiosk Medicine Kentucky LLC Family CurrentSince Jul 27, 2020 Accepting new patients
Family Wellcare Clinic, PLLC CurrentSince Mar 2, 2024 Accepting new patients
Stanford Wellcare Clinic PLLC CurrentSince Mar 2, 2024 Accepting new patients

Locations

102 W John Rowan Blvd
Bardstown, KY 40004
Phone (502) 348-3062

3039 Breckenridge Ln
Louisville, KY 40220
Phone (502) 451-4555

805 Bardstown Rd
Ste 12
Springfield, KY 40069
Phone (859) 481-7113

132 Frontier Blvd
Ste 101
Stanford, KY 40484
Phone (606) 727-5757

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FEJBBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/FEJBBD/Endpoint/FEJBBD

Organizations & group practices 3

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1013526417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 BARDSTOWN RD STE 12",
            "city": "SPRINGFIELD",
            "state": "KY",
            "postal_code": "400691515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 BARDSTOWN RD STE 12",
            "city": "SPRINGFIELD",
            "state": "KY",
            "postal_code": "400691515",
            "telephone_number": "859-481-7113",
            "fax_number": "859-481-7114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "KRISTEN",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-31",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3014871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "BROWN",
            "middle_name": "RENEE",
            "prefix": "MRS.",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Springfield, KY

Sources for this page

Verify at the official NPI Registry.