Individual provider Active NPI

Katelyn Michelle Chandler, FNP-C

  • Nurse Practitioner
  • Scottsville, KY
National Provider Identifier
1134849474
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3018287 Issued in KY
Practice address
466 Burnley Rd
Scottsville, KY 42164-6355
Phone
(270) 618-3700
NPI assigned
Aug 29, 2022
Last updated
Aug 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3018287 KY Primary

Addresses

Primary practice location

466 Burnley Rd
Scottsville, KY 42164-6355

Mailing address

972 Red Hill Rd
Scottsville, KY 42164-8854
Phone (270) 943-1233

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
I20221121000683 KY Practitioner - Nurse Practitioner 8224406475 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

456 Burnley Rd
Scottsville, KY 42164-6355
Phone (270) 622-2826

466 Burnley Rd
Scottsville, KY 42164-6355
Phone (270) 618-3700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Health Corporation, Inc. CurrentSince Jul 19, 2025 Accepting new patients
Bowling Green-Warren County Community Hospital Corporation CurrentSince Sep 26, 2022 Accepting new patients
Bowling Green-Warren County Community Hospital Corporation Current Accepting new patients
Commonwealth Health Corporation, Inc Nurse Practitioner CurrentSince Jul 19, 2025 Accepting new patients
Commonwealth Health Corporation, Inc Nurse Practitioner Current Accepting new patients
Bowling Green-Warren County Community Hospital Corporation Nurse Practitioner CurrentSince Sep 26, 2022 Accepting new patients

Locations

250 Park St
Bowling Green, KY 42101
Phone (270) 745-1000

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

466 Burnley Rd
Scottsville, KY 42164
Phone (270) 237-3131

Organizations & group practices 6

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 2

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": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1134849474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "972 RED HILL RD",
            "city": "SCOTTSVILLE",
            "state": "KY",
            "postal_code": "421648854",
            "telephone_number": "270-943-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "466 BURNLEY RD",
            "city": "SCOTTSVILLE",
            "state": "KY",
            "postal_code": "421646355",
            "telephone_number": "270-618-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "KATELYN",
        "middle_name": "MICHELLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3018287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsville, KY

Sources for this page

Verify at the official NPI Registry.