Kelly Goshorn, A.P.R.N.
Individual provider Active NPI Family Nurse Practitioner · Louisville, KY
NPI 1053779413 · NPPES record last updated Dec 8, 2020
Key facts
- NPI
- 1053779413
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 3010043 (KY)
- Practice address
- 200 Abraham Flexner Way
Louisville, KY 40202-2877 - Phone
- (502) 852-5689
- Fax
- (502) 587-4840
- NPI assigned
- Feb 1, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 16
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University of Louisville Physicians Inc
Aptiva Health
Practice addresses (Care Compare)
200 Abraham Flexner Way
Louisville, KY 40202-1886
Phone (502) 587-4401
3615 Newburg Rd
Louisville, KY 40218-3368
Phone (502) 909-0772
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.96 of 100
- Quality
- 56.12
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.73
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160315001341 | KY | Practitioner - Nurse Practitioner | 2365748563 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3010043 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aptiva Health | Current |
Accepting new patients | |
| Community Medical Associates, Inc. | Family | Current |
Accepting new patients |
| Community Medical Associates, Inc. | Current |
Accepting new patients | |
| University of Louisville Physicians, Inc. | Current |
Accepting new patients | |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| University of Louisville Physicians, Inc. | Current |
Accepting new patients | |
| Aptiva Health | Current |
Accepting new patients | |
| Aptiva Health | Past | Accepting new patients |
Locations
7752 Solution Ctr
Chicago, IL 60677
2093 Medical Arts Dr
Hebron, KY 41048
Phone (859) 442-6600
230 Fountain Ct
Ste 180
Lexington, KY 40509
Phone (859) 276-5008
3611 Newburg Rd
Louisville, KY 40218
12300 Plantside Dr
Louisville, KY 40299
401 N English Station Rd
Louisville, KY 40223
3615 Newburg Rd
Louisville, KY 40218
Phone (502) 583-1011
10100 Linn Station Rd
#1A
Louisville, KY 40223
300 S 13th St
Louisville, KY 40203
Phone (502) 583-1011
825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165
10100 Linn Station Rd
Ste 1A
Louisville, KY 40223
Phone 5029090772 ext. 85585
571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700
200 Abraham Flexner Way
Louisville, KY 40202
Phone (502) 569-7983
1903 W Hebron Ln
Shepherdsvlle, KY 40165
Phone (502) 587-4421
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3010043 | KY | Yes |
Addresses
Primary practice location
200 Abraham Flexner Way
Louisville, KY 40202-2877
Mailing address
PO Box 909
Louisville, KY 40201-0909
Other providers in Louisville, KY
- Justin Wayne Gorski
- Kim Ann Gorski
- Diana Gorsuch
- Kristin Gosden
- Eric C Goshorn
- Erin Goss
- Linda Kaye Goss
- Valerie Gail Goss
- Caroline Emily Gosser
- Dustin M Gosser
All providers in Louisville, KY · Family Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.