Individual provider Active NPI

Kaylyn Mackenzie Martin, APRN

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1447035290
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4008834 Issued in KY
Practice address
3920 Dutchmans LN Ste 315
Louisville, KY 40207-4702
Phone
(502) 896-4246
Fax
(502) 896-1136
NPI assigned
Aug 29, 2023
Last updated
Oct 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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 4008834 KY Primary

Addresses

Primary practice location

3920 Dutchmans LN Ste 315
Louisville, KY 40207-4702

Mailing address

PO Box 909
Louisville, KY 40201-0909
Phone (502) 896-4246

Other names 1

  • Kaylyn Mackenzie Popp Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231031001262 KY Practitioner - Nurse Practitioner 3173979952 Reassigns benefits to 3 organizations
I20250408002169 IN Practitioner - Nurse Practitioner 3173979952 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
78.96 of 100Reported as group
Quality
56.12
Promoting interoperability
100
Improvement activities
40
Cost
73.73

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4008834KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. Current Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Oct 18, 2023 Accepting new patients
Consonant Healing Associates of de LLC CurrentSince Mar 31, 2025 Accepting new patients
University of Louisville Physicians CurrentSince Oct 18, 2023 Accepting new patients
Healing Partners Plus PLLC CurrentSince Jul 1, 2025 Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

101 Potters Ln
Clarksville, IN 47129
Phone (812) 948-0808

105 Water St
Plymouth, IN 46563
Phone (574) 540-2052

3499 Blazer Pkwy
Ste 300
Lexington, KY 40509
Phone (859) 699-1803

828 Lane Allen Rd
Ste 219
Lexington, KY 40504

3920 Dutchmans Ln
Ste 315
Louisville, KY 40207
Phone (502) 583-8005

2100 Cherokee Ridge Way
Louisville, KY 40205
Phone (502) 451-0990

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: kmartin38719@uoflhealth-dm.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1447035290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402010909",
            "telephone_number": "502-896-4246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 DUTCHMANS LN STE 315",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074702",
            "telephone_number": "502-896-4246",
            "fax_number": "502-896-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "KAYLYN",
        "middle_name": "MACKENZIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-29",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4008834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLYN",
            "last_name": "POPP",
            "middle_name": "MACKENZIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.