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
Last updated
May 26, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

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

Addresses

Primary practice location

1100 Richmond Rd
Irvine, KY 40336-7231

Mailing address

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

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

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 LLCGroup PAC ID 2466592688, 12 clinicians

Practice addresses (Care Compare)

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

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3004077KYMDFamily 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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, KY

Sources for this page

Verify at the official NPI Registry.