Active NPI
Laura Elizabeth Kelso, FNP-BC
- Nurse Practitioner
- Paducah, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 3006389
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100117090 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IL, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
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
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
- West Tennessee Healthcare Henry County Hospital
- Mercy Health - Lourdes Hospital
- Marshall County Hospital
- Baptist Health Paducah
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.69 of 100
- Quality
- 87.4
- Improvement activities
- 40
- Cost
- 82.42
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6389P | KY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidney Specialists of Paducah PLLC | Nurse Practitioner | Current | 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.
-
- Nephrology Physician
- Paducah, KY
- NPI 1740765957
IL, Nurse Practitioner, TN
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Paducah, KY
- NPI 1730264128
-
- Critical Access Hospital
- Benton, KY
- NPI 1568528594
-
- General Acute Care Hospital
- Paducah, KY
- NPI 1346244126
-
- General Acute Care Hospital
- Murray, KY
- NPI 1073504981
-
- General Acute Care Hospital
- Paris, TN
- NPI 1497750244
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; 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.