Active NPI
Billie Jean Kelley, APRN
- Family Nurse Practitioner
- Irvine, KY
National Provider Identifier
1417061995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3004077
- 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.
-
- Rural Health Clinic/Center
- Clay City, KY
- NPI 1386921948
-
- Rural Health Clinic/Center
- Irvine, KY
- NPI 1811132525
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Lexington, KY
- NPI 1568432433
-
- Critical Access Hospital
- Irvine, KY
- NPI 1487643821
Hospital
-
- Home Health Agency
- Lexington, KY
- NPI 1083863286
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
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
- Vna Health at Home
- Marcum and Wallace Memorial Hospital
- Baptist Health Richmond
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Clinics, LLC | Current | Accepting new patients | |
| Mercy Health Clinics, LLC | Current | 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
- bkelley25529@direct.bsmhealth.org
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3004077 | KY | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 607850200 | Other | KY | FEDERAL BLACK LUNG |
| 78010303 | Medicaid | KY |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; 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.