Active NPI
Kelly Nicole Miller, APRN
- Family Nurse Practitioner
- Richmond, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3013564
- Practice address
- 107 Meridian Way Ste 200
Richmond, KY 40475-2878 - Phone
- (859) 624-6366
- Fax
- (859) 624-6367
- NPI assigned
- Jul 22, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3013564 | KY | Primary |
Addresses
Primary practice location
107 Meridian Way Ste 200
Richmond, KY 40475-2878
Mailing address
5200 Commerce Crossings Dr FL 3
Louisville, KY 40229-2182
Phone (502) 253-4924
Other names 1
- Kelly Nicole Combs
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200806002777 | KY | Practitioner - Nurse Practitioner | 1153746276 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- H2 Rehabilitation Services of Kentucky, LLCKentucky Orthopedic Rehabilitation LLC
Practice addresses (Care Compare)
107 Meridian Way
Suite 200
Richmond, KY 40475-2878
Phone (859) 624-6366
116 Meridian Way
Suite 9
Richmond, KY 40475-2876
Phone (859) 623-6334
235 Boggs LN
Suite 9
Richmond, KY 40475-3325
Phone (859) 972-8630
Hospital & facility affiliations
- Family Home Health Care, LLC Dba Adoration Home Health
- Baptist Health Richmond
- Baptist Health Lexington
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.29 of 100
- Quality
- 87.32
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3013564 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kiosk Medicine Kentucky LLC | Family | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients |
Locations
96 Future Dr
Corbin, KY 40701
4101 Tates Creek Centre Dr
Lexington, KY 40517
Phone (859) 272-2575
5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924
3039 Breckenridge Ln
Louisville, KY 40220
Phone (502) 451-4555
107 Meridian Way
Ste 200
Richmond, KY 40475
Phone (859) 624-6366
890 Richmond Plz
Richmond, KY 40475
Phone (859) 623-5155
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.
-
- Rural Health Clinic/Center
- Princeton, KY
- NPI 1447728043
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Lexington, KY
- NPI 1568432433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660867200000",
"number": "1336757665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 COMMERCE CROSSINGS DR FL 3",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402292182",
"telephone_number": "502-253-4924",
"fax_number": "502-489-5750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 MERIDIAN WAY STE 200",
"city": "RICHMOND",
"state": "KY",
"postal_code": "404752878",
"telephone_number": "859-624-6366",
"fax_number": "859-624-6367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "KELLY",
"middle_name": "NICOLE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-22",
"last_updated": "2022-08-19",
"certification_date": "2022-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3013564",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELLY",
"last_name": "COMBS",
"middle_name": "NICOLE",
"credential": "APRN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Richmond, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.