Laura Kelly Chism, APRN
Individual provider Active NPI Nurse Practitioner · Brandenburg, KY
NPI 1366440091 · NPPES record last updated Aug 7, 2026
Key facts
- NPI
- 1366440091
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 3002841 (KY)
- Practice address
- 1065 Old Ekron Rd
Brandenburg, KY 40108-1735 - Phone
- (270) 422-2200
- Fax
- (270) 422-2221
- NPI assigned
- Jul 7, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Complete Family Care Practitioners
Practice addresses (Care Compare)
1065 Old Ekron Rd
Brandenburg, KY 40108-1735
Phone (270) 422-2200
Hospital & facility affiliations
- Caresouth HHA Holdings of Winchester, LLC Dba Enhabit Home Health
- Caretenders
- Baptist Health Hardin
- Harrison County Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040205000883 | KY | Practitioner - Nurse Practitioner | 8527951284 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3002841 | KY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complete Family Care Practitioners | Nurse Practitioner | Current |
Accepting new patients |
| Sharpcare LLC | Nurse Practitioner | Past | Accepting new patients |
| J. Neal Sharpe, M.D. Surgical Wound Specialist, PLLC | Nurse Practitioner | Past | Accepting new patients |
Locations
1065 Old Ekron Rd
Brandenburg, KY 40108
Phone (270) 422-2200
Interoperability endpoints
- laura.white.1@16395.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 3002841 | KY | Yes |
Addresses
Primary practice location
1065 Old Ekron Rd
Brandenburg, KY 40108-1735
Mailing address
1065 Old Ekron Rd
Brandenburg, KY 40108-1735
Phone (270) 422-2200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 78004108 | Medicaid | KY | |
| 000000305963 | Other | KY | ANTHEM |
| 000000861403 | Other | KY | ANTHEM-NSS |
| 2444403000 | Other | KY | PASSPORT ADVANTAGE |
| 50064974 | Other | KY | PASSPORT-NSS |
| 50002937 | Other | KY | PASSPORT |
| 158653 | Other | KY | SIHO-NSS |
NPI Registry JSON
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786060800000",
"number": "1366440091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1065 OLD EKRON RD",
"city": "BRANDENBURG",
"state": "KY",
"postal_code": "401081735",
"telephone_number": "270-422-2200",
"fax_number": "270-422-2221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1065 OLD EKRON RD",
"city": "BRANDENBURG",
"state": "KY",
"postal_code": "401081735",
"telephone_number": "270-422-2200",
"fax_number": "270-422-2221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHISM",
"first_name": "LAURA",
"middle_name": "KELLY",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-07",
"last_updated": "2026-08-07",
"certification_date": "2026-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "3002841",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "78004108",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000305963",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM-NSS",
"identifier": "000000861403",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT ADVANTAGE",
"identifier": "2444403000",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT-NSS",
"identifier": "50064974",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT",
"identifier": "50002937",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIHO-NSS",
"identifier": "158653",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brandenburg, KY
- Alecia Nicole Byassee
- Cardiac Care Center of Louisville, PLLC
- Carl W. Sydnor
- Hans J Cesarz
- Jason Chambers
- Julia Kay Collins
- Communicare Inc
- Complete Family Care Practitioners
- Cox Family Dental
- Ricky L Cox
All providers in Brandenburg, KY · Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.