Individual provider Active NPI

Kelley R. Easton, MSN, FNP-BC, NP-C

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1477719987
Registry record updated Apr 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3004175 Issued in KY
Practice address
189 Outer Loop
Louisville, KY 40214-5544
Phone
(502) 363-1731
Fax
(502) 364-9272
NPI assigned
Aug 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2022

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 3004175 KY Primary

Addresses

Primary practice location

189 Outer Loop
Louisville, KY 40214-5544

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490

Other practice location 1

185 Adam Shepherd Pkwy
Shepherdsville, KY 40165-6578
Phone (502) 921-5450

Other practice location 2

890 Richmond Plz
Richmond, KY 40475-2564
Phone (859) 623-5155

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
I20150810001055 KY Practitioner - Nurse Practitioner 3274429907 Reassigns benefits to 3 organizations

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
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

10216 Taylorsville Rd
Suite 150
Louisville, KY 40299-3616
Phone (502) 297-8900

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
3004175KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. CurrentSince Jul 1, 2021 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Oct 4, 2023 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Oct 4, 2023 Accepting new patients
Community Medical Associates, Inc. Family Current Accepting new patients
Community Medical Associates, Inc. CurrentSince Jul 1, 2021 Accepting new patients

Locations

96 Future Dr
Corbin, KY 40701

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

10216 Taylorsville Rd
Ste 150
Louisville, KY 40299
Phone (502) 297-8900

1169 Eastern Pkwy
Ste G58
Louisville, KY 40217
Phone (502) 452-9567

189 Outer Loop
Louisville, KY 40214
Phone (502) 363-1731

648 University Shopping Ctr
Richmond, KY 40475
Phone (859) 623-1950

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648771200000",
    "number": "1477719987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 OUTER LOOP",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402145544",
            "telephone_number": "502-363-1731",
            "fax_number": "502-364-9272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "185 Adam Shepherd Pkwy",
            "address_purpose": "LOCATION",
            "city": "Shepherdsville",
            "state": "KY",
            "postal_code": "401656578",
            "country_code": "US",
            "telephone_number": "502-921-5450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "890 Richmond Plz",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "KY",
            "postal_code": "404752564",
            "country_code": "US",
            "telephone_number": "859-623-5155",
            "fax_number": "859-623-9924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EASTON",
        "first_name": "KELLEY",
        "middle_name": "R.",
        "credential": "MSN, FNP-BC, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-04",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3004175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.