Active NPI
Kelli S Cremeans, APRN
- Family Nurse Practitioner
- Lexington, KY
National Provider Identifier
1114157948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3006123
- Practice address
- 4156 Starrush PL
Lexington, KY 40509-9077 - Phone
- (859) 242-7836
- Fax
- (859) 955-5024
- NPI assigned
- Jul 14, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | C-APN.0101476-C-NP | CO | |
| Family Nurse Practitioner | 363LF0000X | 0024188893 | VA | |
| Family Nurse Practitioner | 363LF0000X | 3006123 | KY | Primary |
Addresses
Primary practice location
4156 Starrush PL
Lexington, KY 40509-9077
Mailing address
4156 Starrush PL
Lexington, KY 40509-9077
Phone (859) 242-7836
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100085230 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.76 of 100
- Quality
- 78.19
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.17
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-APN.0101476-C-NP | CO | MD | Family Nurse Practitioner |
| 3006123 | KY | MD | Family Nurse Practitioner |
| 0024188893 | VA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742169600000",
"number": "1114157948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4156 STARRUSH PL",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405099077",
"telephone_number": "859-242-7836",
"fax_number": "859-955-5024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4156 STARRUSH PL",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405099077",
"telephone_number": "859-242-7836",
"fax_number": "859-955-5024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CREMEANS",
"first_name": "KELLI",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-14",
"last_updated": "2025-03-17",
"certification_date": "2025-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "C-APN.0101476-C-NP",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024188893",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3006123",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100085230",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.