Individual provider Active NPI

Kellye Rone Dooley, APRN

  • Family Nurse Practitioner
  • Bowling Green, KY
National Provider Identifier
1134496466
Registry record updated Sep 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3007286 Issued in KY
Practice address
421 US 31W Byp
Bowling Green, KY 42101-1775
Phone
(270) 782-7768
Fax
(270) 781-9480
NPI assigned
Dec 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1111680 KY
Family Nurse Practitioner 363LF0000X 3007286 KY Primary

Addresses

Primary practice location

421 US 31W Byp
Bowling Green, KY 42101-1775

Mailing address

421 US 31W Byp
Bowling Green, KY 42101-1775
Phone (270) 782-7768

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
I20120215000960 KY Practitioner - Nurse Practitioner 2961660279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Commonwealth Health Corporation, Inc.Group PAC ID 5496667628, 268 clinicians

Practice addresses (Care Compare)

1100 Brookhaven Rd
Franklin, KY 42134-2746

350 Park St
Bowling Green, KY 42101-1784

421 US 31W Byp
Bowling Green, KY 42101-1775
Phone (270) 846-8902

825 2ND Ave E
Suite C2
Bowling Green, KY 42101-1786

Hospital & facility affiliations

  • The Medical Center (Bowling Green) Hospital, Bowling Green, KY, CCN 180013

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1111680KYMDRegistered Nurse
3007286KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Health Corporation, Inc. CurrentSince Jan 30, 2012 Accepting new patients
Commonwealth Health Corporation, Inc Family CurrentSince Jan 30, 2012 Accepting new patients
Commonwealth Health Corporation, Inc Current Accepting new patients
Commission for Children With Special Health Car Past Accepting new patients
Commonwealth Health Corporation Past Accepting new patients

Locations

421 US 31W Byp
Bowling Green, KY 42101
Phone (270) 782-7768

350 Park St
Ste 203
Bowling Green, KY 42101
Phone (270) 781-0075

340 New Towne Dr
Bowling Green, KY 42103
Phone (270) 257-4217

1100 Brookhaven Rd
Franklin, KY 42134
Phone (270) 586-3253

Organizations & group practices 5

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

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": "1322697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1134496466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 US 31W BYP",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011775",
            "telephone_number": "270-782-7768",
            "fax_number": "270-781-9480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 US 31W BYP",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011775",
            "telephone_number": "270-782-7768",
            "fax_number": "270-781-9480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOOLEY",
        "first_name": "KELLYE",
        "middle_name": "RONE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-01",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1111680",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3007286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.