Individual provider Active NPI

Kelly Goshorn, A.P.R.N.

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1053779413
Registry record updated Oct 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3010043 Issued in KY
Practice address
10100 Linn Station Rd Ste A1
Louisville, KY 40223-3861
Phone
(502) 909-0772
Fax
(855) 859-0123
NPI assigned
Feb 1, 2016
Last updated
Oct 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2026

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 3010043 KY Primary

Addresses

Primary practice location

10100 Linn Station Rd Ste A1
Louisville, KY 40223-3861

Mailing address

12300 Plantside Dr
Louisville, KY 40299-6345
Phone (502) 909-0772

Other practice location 1

3615 Newburg Rd
Louisville, KY 40218-3368
Phone (502) 909-0772

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
I20160315001341 KY Practitioner - Nurse Practitioner 2365748563 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aptiva HealthGroup PAC ID 0547595316, 36 clinicians

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 100Reported as group
Quality
56.12
Promoting interoperability
100
Improvement activities
40
Cost
73.73

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3010043KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Family CurrentSince Mar 7, 2016 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Dec 10, 2020 Accepting new patients
Aptiva Health CurrentSince Feb 2, 2026 Accepting new patients
University of Louisville Physicians, Inc. Current Accepting new patients
Aptiva Health CurrentSince Feb 2, 2026 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Dec 10, 2020 Accepting new patients
Community Medical Associates, Inc. CurrentSince Mar 7, 2016 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

10100 Linn Station Rd
#1A
Louisville, KY 40223

10100 Linn Station Rd
Ste 1A
Louisville, KY 40223
Phone 5029090772 ext. 85585

12300 Plantside Dr
Louisville, KY 40299

200 Abraham Flexner Way
Louisville, KY 40202
Phone (502) 569-7983

300 S 13th St
Louisville, KY 40203
Phone (502) 583-1011

3611 Newburg Rd
Louisville, KY 40218

3615 Newburg Rd
Louisville, KY 40218
Phone (502) 583-1011

401 N English Station Rd
Louisville, KY 40223

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

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

1903 W Hebron Ln
Shepherdsvlle, KY 40165
Phone (502) 587-4421

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1454284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792972800000",
    "number": "1053779413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12300 PLANTSIDE DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402996345",
            "telephone_number": "502-909-0772",
            "fax_number": "855-859-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10100 LINN STATION RD STE A1",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402233861",
            "telephone_number": "502-909-0772",
            "fax_number": "855-859-0123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3615 Newburg Rd",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402183368",
            "country_code": "US",
            "telephone_number": "502-909-0772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOSHORN",
        "first_name": "KELLY",
        "name_prefix": "Mrs.",
        "credential": "A.P.R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-01",
        "last_updated": "2026-10-26",
        "certification_date": "2026-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3010043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.