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

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 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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 (2 clinicians)

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 Home health agency · Owensboro, KY · CCN 187087
  • Caretenders Home health agency · Elizabethtown, KY · CCN 187145
  • Baptist Health Hardin Hospital · Elizabethtown, KY · CCN 180012
  • Harrison County Hospital Hospital · Corydon, IN · CCN 151331

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 IDStateProvider typePAC IDDetails
I20040205000883 KY Practitioner - Nurse Practitioner 8527951284 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3002841KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Family Care Practitioners Nurse Practitioner Current
since Mar 4, 2013
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

  • Direct secure messaging: laura.white.1@16395.direct.athenahealth.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
78004108MedicaidKY
000000305963OtherKYANTHEM
000000861403OtherKYANTHEM-NSS
2444403000OtherKYPASSPORT ADVANTAGE
50064974OtherKYPASSPORT-NSS
50002937OtherKYPASSPORT
158653OtherKYSIHO-NSS

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 7, 2026.

{
    "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

All providers in Brandenburg, KY · Nurse Practitioner in Kentucky

Sources for this page

Verify at the official NPI Registry.