Individual provider Active NPI

Laura Elizabeth Kelso, FNP-BC

  • Nurse Practitioner
  • Paducah, KY
National Provider Identifier
1356664262
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3006389 Issued in KY
Practice address
1532 Lone Oak Rd
Suite 315
Paducah, KY 42003-7913
Phone
(270) 538-5880
Fax
(270) 538-5870
NPI assigned
Mar 5, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 6389P KY
Nurse Practitioner 363L00000X 3006389 KY Primary

Addresses

Primary practice location

1532 Lone Oak Rd
Suite 315
Paducah, KY 42003-7913

Mailing address

225 Medical Center Dr
Suite 201
Paducah, KY 42003-7914
Phone (270) 441-4200

Other identifiers 1

IdentifierTypeStateIssuer
7100117090MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IL, TN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20100513000295 KY Practitioner - Nurse Practitioner 4284762113 Reassigns benefits to 1 organization
I20130823001240 IL Practitioner - Nurse Practitioner 4284762113 Reassigns benefits to 1 organization
I20191113002129 TN Practitioner - Nurse Practitioner 4284762113 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kidney Specialists of Paducah PLLCGroup PAC ID 1557605649, 9 clinicians

Practice addresses (Care Compare)

1323 E Wood St
Suite 400
Parist, TN 38242-4018
Phone (270) 538-5880

1532 Lone Oak Rd
Suite 315
Paducah, KY 42003-7942
Phone (270) 538-5880

Hospital & facility affiliations

  • Murray-Calloway County Hospital Hospital, Murray, KY, CCN 180027
  • West Tennessee Healthcare Henry County Hospital Hospital, Paris, TN, CCN 440132
  • Mercy Health - Lourdes Hospital Hospital, Paducah, KY, CCN 180102
  • Marshall County Hospital Hospital, Benton, KY, CCN 181327
  • Baptist Health Paducah Hospital, Paducah, KY, CCN 180104

Merit-based Incentive Payment System (MIPS)

Final score
94.69 of 100Reported as group
Quality
87.4
Improvement activities
40
Cost
82.42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6389PKYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Specialists of Paducah PLLC Nurse Practitioner CurrentSince Dec 15, 2018 Accepting new patients

Locations

20 Hospital Dr
Metropolis, IL 62960
Phone (618) 524-3046

2484 Main St
Cadiz, KY 42211
Phone (270) 522-0170

1215 Johnson Blvd
Murray, KY 42071
Phone (270) 992-5000

300 S 8th St
Ste 282W
Murray, KY 42071
Phone (270) 522-0170

1532 Lone Oak Rd
Ste 315
Paducah, KY 42003
Phone (270) 522-0170

1532 Lone Oak Rd
Paducah, KY 42003
Phone (270) 442-3536

1323 E Wood St
Ste 400
Paris, TN 38242

Organizations & group practices 1

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 6

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": "1267747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1356664262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 MEDICAL CENTER DR",
            "address_2": "SUITE 201",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420037914",
            "telephone_number": "270-441-4200",
            "fax_number": "270-441-4982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1532 LONE OAK RD",
            "address_2": "SUITE 315",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420037913",
            "telephone_number": "270-538-5880",
            "fax_number": "270-538-5870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELSO",
        "first_name": "LAURA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-05",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "6389P",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3006389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100117090",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.