Active NPI
Jennifer Marie Kelley
- Family Nurse Practitioner
- Paris, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3014901
- 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
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 | 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Berea Urgent Care LLC | Current | Accepting new patients | |
| Man O War Urgent Care LLC | Current | Accepting new patients | |
| Georgetown Urgent Care PLLC | Current | Accepting new patients | |
| Onan Chiropractic PLLC | Current | Accepting new patients | |
| Lexington Urgent Care PLLC | Current | 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
- 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.
-
- Urgent Care Clinic/Center
- Georgetown, KY
- NPI 1780838847
-
- Urgent Care Clinic/Center
- Lexington, KY
- NPI 1225374887
-
- Nurse Practitioner
- Berea, KY
- NPI 1912054792
-
- Urgent Care Clinic/Center
- Lexington, KY
- NPI 1083101240
-
- Chiropractor
- Nicholasville, KY
- NPI 1225490337
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.