Individual provider Active NPI

Billie Jean Kelley, APRN

  • Family Nurse Practitioner
  • Irvine, KY
National Provider Identifier
1417061995
Registry record updated May 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3004077 Issued in KY
Practice address
1100 Richmond Rd
Irvine, KY 40336-7231
Phone
(606) 723-7706
Fax
(606) 726-9410
NPI assigned
Aug 19, 2006
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 4

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Clinics LLC 12 clinicians

Practice addresses (Care Compare)

1100 Richmond Rd
Irvine, KY 40336-7231
Phone (606) 723-7706

Hospital & facility affiliations

  • Family Home Health Care, LLC Dba Adoration Home Health Home health agency, Lexington, KY, CCN 187163
  • Vna Health at Home Home health agency, Lexington, KY, CCN 187113
  • Marcum and Wallace Memorial Hospital Hospital, Irvine, KY, CCN 181301
  • Baptist Health Richmond Hospital, Richmond, KY, CCN 180049

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
I20050325000572 KY Practitioner - Nurse Practitioner 9436105079 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Clinics, LLC CurrentSince Aug 2, 2010 Accepting new patients
Mercy Health Clinics, LLC CurrentSince Aug 2, 2010 Accepting new patients
Mercy Health Clinics, LLC Past Accepting new patients

Locations

749 Irvine Rd
Clay City, KY 40312
Phone (606) 663-2153

1100 Richmond Rd
Irvine, KY 40336
Phone (606) 723-7706

Interoperability endpoints

  • Direct secure messaging: bkelley25529@direct.bsmhealth.org

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3004077 KY Primary

Addresses

NPPES NPI Registry

Primary practice location

1100 Richmond Rd
Irvine, KY 40336-7231

Mailing address

PO Box 636493
Cincinnati, OH 45263-6493
Phone (513) 981-5130

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
607850200OtherKYFEDERAL BLACK LUNG
78010303MedicaidKY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 26, 2015.

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432598400000",
    "number": "1417061995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636493",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452636493",
            "telephone_number": "513-981-5130",
            "fax_number": "513-981-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 RICHMOND RD",
            "city": "IRVINE",
            "state": "KY",
            "postal_code": "403367231",
            "telephone_number": "606-723-7706",
            "fax_number": "606-726-9410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "BILLIE",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2015-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3004077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG",
            "identifier": "607850200",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78010303",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, KY

Sources for this page

Verify at the official NPI Registry.