Individual provider Active NPI

Heather Kelly, APRN

  • Family Nurse Practitioner
  • Richmond, KY
National Provider Identifier
1487196317
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3010480 Issued in KY
Practice address
890 Richmond PLZ
Richmond, KY 40475-2564
Phone
(859) 622-5155
NPI assigned
Nov 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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 3010480 KY Primary

Addresses

Primary practice location

890 Richmond PLZ
Richmond, KY 40475-2564

Mailing address

PO Box 932958
Cleveland, OH 44193-0028
Phone (606) 273-9463

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
I20161206002416 KY Practitioner - Nurse Practitioner 0749560803 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kiosk Medicine Kentucky LLCGroup PAC ID 6002887510, 169 clinicians

Practice addresses (Care Compare)

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

Merit-based Incentive Payment System (MIPS)

Final score
83.72 of 100Reported as group
Quality
66.02
Promoting interoperability
100
Improvement activities
40
Cost
79.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3010480KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kiosk Medicine Kentucky LLC Family CurrentSince Oct 31, 2016 Accepting new patients
University of Kentucky CurrentSince Jul 1, 2022 Accepting new patients
Central Ky Urgent Care Center Inc CurrentSince Sep 28, 2021 Accepting new patients

Locations

3101 Richmond Rd
Lexington, KY 40509
Phone (859) 268-9866

2195 Harrodsburg Rd
Ste 125
Lexington, KY 40504
Phone (859) 257-4732

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

2195 Harrodsburg Rd
Lexington, KY 40504
Phone (859) 323-2232

3039 Breckenridge Ln
Louisville, KY 40220
Phone (502) 451-4555

330 Eastern Byp
Ste 3
Richmond, KY 40475
Phone (859) 353-8884

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

Interoperability endpoints

  • Direct secure messaging: heather.kelly@krogerhealth.eclinicaldirectplus.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1487196317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932958",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930028",
            "telephone_number": "606-273-9463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 RICHMOND PLZ",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404752564",
            "telephone_number": "859-622-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "HEATHER",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-09",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3010480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, KY

Sources for this page

Verify at the official NPI Registry.