Individual provider Active NPI

Jennifer Marie Kelley

  • Family Nurse Practitioner
  • Paris, KY
National Provider Identifier
1366052136
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3014901 Issued in KY
Practice address
274 E Main St
Paris, KY 40361
Phone
(859) 987-6230
Fax
(859) 987-0149
NPI assigned
Aug 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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 3014901 KY Primary

Addresses

Primary practice location

274 E Main St
Paris, KY 40361

Mailing address

274 E Main St
Paris, KY 40361
Phone (859) 987-6230

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
I20250911002259 KY Practitioner - Nurse Practitioner 8123521655 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgetown Urgent Care PLLCGroup PAC ID 6608938287, 12 clinicians
Lexington Urgent Care PLLCGroup PAC ID 9830344688, 29 clinicians

Practice addresses (Care Compare)

111 Osbourne Way
Suite 101
Georgetown, KY 40324-8004
Phone (859) 466-8956

1701 Nicholasville Rd
Suite 100
Lexington, KY 40503-1461
Phone (859) 466-8956

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Berea Urgent Care LLC CurrentSince Jul 31, 2025 Accepting new patients
Man O War Urgent Care LLC CurrentSince Jul 31, 2025 Accepting new patients
Georgetown Urgent Care PLLC CurrentSince Jul 31, 2025 Accepting new patients
Onan Chiropractic PLLC CurrentSince Jul 31, 2025 Accepting new patients
Lexington Urgent Care PLLC CurrentSince Jul 31, 2025 Accepting new patients

Locations

234 Brenwood St
Berea, KY 40403
Phone (859) 985-0302

111 Osborne Way
#101
Georgetown, KY 40324
Phone (859) 466-8956

111 Osborne Way
Ste 101
Georgetown, KY 40324
Phone (859) 466-8956

4097 Nichols Park Dr
Ste 108
Lexington, KY 40503
Phone (859) 245-2273

1701 Nicholasville Rd
Ste 100
Lexington, KY 40503
Phone (859) 466-8956

1701 Nicholasville Rd
Lexington, KY 40503
Phone (859) 278-9373

3101 Richmond Rd
Ste 202
Lexington, KY 40509
Phone (606) 266-2223

197 E Brannon Rd
Nicholasville, KY 40356
Phone (859) 523-5310

274 E Main St
Paris, KY 40361
Phone (606) 987-6230

432 Lexington Rd
Versailles, KY 40383
Phone (859) 523-5310

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1366052136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 E MAIN ST",
            "city": "PARIS",
            "state": "KY",
            "postal_code": "40361",
            "telephone_number": "859-987-6230",
            "fax_number": "859-987-0149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 E MAIN ST",
            "city": "PARIS",
            "state": "KY",
            "postal_code": "40361",
            "telephone_number": "859-987-6230",
            "fax_number": "859-987-0149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-05",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3014901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, KY

Sources for this page

Verify at the official NPI Registry.