Individual provider Active NPI

Jesslyn Brianne Kelsey, APRN

  • Family Nurse Practitioner
  • Stanford, KY
National Provider Identifier
1346727112
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3012546 Issued in KY
Practice address
100 Jay St
Stanford, KY 40484-7511
Phone
(859) 583-7870
Fax
(606) 365-8380
NPI assigned
Jul 25, 2018
Last updated
Sep 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3012546 KY Primary

Addresses

Primary practice location

100 Jay St
Stanford, KY 40484-7511

Mailing address

100 Jay St
Stanford, KY 40484-7511
Phone (859) 583-7870

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
I20190207001473 KY Practitioner - Nurse Practitioner 9537407028 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bates Miller and Sims PLLCGroup PAC ID 0840226692, 6 clinicians

Practice addresses (Care Compare)

100 Jay St
Stanford, KY 40484-7511
Phone (606) 365-1547

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3012546KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ephraim McDowell Health Resource, Inc Family CurrentSince Jan 1, 2020 Accepting new patients
Ephraim McDowell Health Resource, Inc. CurrentSince Jan 1, 2020 Accepting new patients
Ephraim McDowell Health Resource, Inc. Family Current Accepting new patients
The James B. Haggin Memorial Hospital Inc CurrentSince Jan 1, 2019 Accepting new patients
The James B. Haggin Memorial Hospital Inc CurrentSince Jan 1, 2019 Accepting new patients
Bates Miller & Sims PLLC CurrentSince Nov 1, 2023 Accepting new patients
Waynesburg Clinic, PLLC CurrentSince Nov 1, 2023 Accepting new patients

Locations

1541 Lebanon Rd
Ste 1
Danville, KY 40422
Phone (859) 236-3208

216 W Walnut St
Ste A
Danville, KY 40422
Phone (859) 239-5870

464 Linden Ave
Harrodsburg, KY 40330
Phone (859) 734-5441

100 Jay St
Stanford, KY 40484
Phone (606) 365-1547

110 Metker Trl
Stanford, KY 40484
Phone (606) 365-3360

14098 US Highway 27 S
Waynesburg, KY 40489
Phone (606) 379-6646

Organizations & group practices 7

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": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1346727112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 JAY ST",
            "city": "STANFORD",
            "state": "KY",
            "postal_code": "404847511",
            "telephone_number": "859-583-7870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 JAY ST",
            "city": "STANFORD",
            "state": "KY",
            "postal_code": "404847511",
            "telephone_number": "859-583-7870",
            "fax_number": "606-365-8380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELSEY",
        "first_name": "JESSLYN",
        "middle_name": "BRIANNE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-25",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3012546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanford, KY

Sources for this page

Verify at the official NPI Registry.