NPIMap

Individual provider Active NPI

Erika Keithley, APRN

  • Adult Health Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1063176998
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
3016909 Issued in KY
Practice address
2355 Poplar Level Rd Ste 200
Louisville, KY 40217-1385
Phone
(502) 891-8300
NPI assigned
Oct 27, 2021
Last updated
Feb 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 3016909 KY
Adult Health Nurse Practitioner 363LA2200X 3016909 KY Primary

Addresses

Primary practice location

2355 Poplar Level Rd Ste 200
Louisville, KY 40217-1385

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 559-9425

Other practice location 1

550 S Jackson St
Louisville, KY 40202-1622
Phone (502) 588-4710

Other practice location 2

401 E Chestnut St Unit 310
Louisville, KY 40202-5703
Phone (502) 588-4600

Other practice location 3

200 Abraham Flexner Way
Louisville, KY 40202-2877
Phone (502) 587-4011

Other identifiers 1

IdentifierTypeStateIssuer
7100786210MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211203000596 KY Practitioner - Nurse Practitioner 4789074857 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diagnostic Imaging Alliance of Louisville PSCGroup PAC ID 1951214220, 25 clinicians

Practice addresses (Care Compare)

200 E Chestnut St
Louisville, KY 40202-1831
Phone (502) 629-7601

Hospital & facility affiliations

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

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3016909KYMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Acute Care CurrentSince Mar 1, 2024 Accepting new patients
Community Medical Associates, Inc. Acute Care Current Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Dec 1, 2021 Accepting new patients
University of Louisville Physicians, Inc. Current Accepting new patients
Diagnostic Imaging Alliance of Louisville PSC CurrentSince Apr 1, 2025 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Dec 1, 2021 Accepting new patients
Community Medical Associates, Inc. CurrentSince Mar 1, 2024 Accepting new patients
University of Louisville Physicians, Inc. Past Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

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

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

2355 Poplar Level Rd
Ste 200
Louisville, KY 40217
Phone (502) 365-2655

3901 Dutchmans Ln
Ste 101
Louisville, KY 40207
Phone (502) 896-2120

401 E Chestnut St
Unit 310
Louisville, KY 40202
Phone (502) 584-8563

550 S Jackson St
Louisville, KY 40202
Phone (502) 561-8686

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

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

Interoperability endpoints

  • Direct secure messaging: ekeithley283810@direct.nortonhealthcare.org

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.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1063176998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-559-9425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 POPLAR LEVEL RD STE 200",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171385",
            "telephone_number": "502-891-8300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 S Jackson St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402021622",
            "country_code": "US",
            "telephone_number": "502-588-4710",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 E Chestnut St Unit 310",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402025703",
            "country_code": "US",
            "telephone_number": "502-588-4600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Abraham Flexner Way",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402022877",
            "country_code": "US",
            "telephone_number": "502-587-4011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEITHLEY",
        "first_name": "ERIKA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-27",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "KY",
            "license": "3016909",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KY",
            "license": "3016909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100786210",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.