Active NPI
Tonia Kelly, NP
- Gerontology Nurse Practitioner
- Murray, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 4027759
- Practice address
- 803 Poplar St
Murray, KY 42071-2432 - Phone
- (270) 762-1321
- NPI assigned
- Jan 24, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 4027759 | KY | Primary |
Addresses
Primary practice location
803 Poplar St
Murray, KY 42071-2432
Mailing address
300 S 8TH St Ste 480W
Murray, KY 42071-2403
Phone (270) 762-1321
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
803 Poplar St
Murray, KY 42071-2432
Phone (270) 762-1597
Hospital & facility affiliations
- Murray-Calloway County Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4027759 | KY | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Murray-Calloway County Public Hospital Corporation | Current | Accepting new patients | |
| Murray-Calloway County Public Hospital Corporation | Current | Accepting new patients | |
| Murray-Calloway County Public Hospital Corporation | Current | Accepting new patients |
Locations
300 S 8th St
Ste 480W
Murray, KY 42071
Phone (270) 762-1104
300 S 8th St
Ste 380W
Murray, KY 42071
Phone (270) 753-0704
803 Poplar St
Murray, KY 42071
Phone (270) 762-1155
Interoperability endpoints
- tonia.kelly.1@9266.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Murray, KY
- NPI 1629202858
-
- Rural Acute Care Hospital
- Murray, KY
- NPI 1063549814
-
- Multi-Specialty Clinic/Center
- Murray, KY
- NPI 1093988388
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Murray, KY
- NPI 1073504981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740528000000",
"number": "1285446302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 S 8TH ST STE 480W",
"city": "MURRAY",
"state": "KY",
"postal_code": "420712403",
"telephone_number": "270-762-1321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "803 POPLAR ST",
"city": "MURRAY",
"state": "KY",
"postal_code": "420712432",
"telephone_number": "270-762-1321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "TONIA",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-24",
"last_updated": "2025-02-26",
"certification_date": "2025-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "KY",
"license": "4027759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murray, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.