Individual provider Active NPI

Melissa Michelle Elzey, RN

  • Gerontology Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1487471579
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
4047675 Issued in KY
Practice address
204 E Market St # a
Louisville, KY 40202-1218
Phone
(502) 588-4340
Fax
(502) 588-4341
NPI assigned
Sep 20, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 4047675 KY Primary
Gerontology Registered Nurse 163WG0600X 1107416 KY

Addresses

Primary practice location

204 E Market St # a
Louisville, KY 40202-1218

Mailing address

3501 Illinois Ave Apt E2
Louisville, KY 40213-1054
Phone (502) 243-5842

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
I20251105001846 KY Practitioner - Nurse Practitioner 6800386244 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brooks Family Medical LLCGroup PAC ID 3577911569, 13 clinicians

Practice addresses (Care Compare)

2233 Lower Hunters Trce
Louisville, KY 40216-1358
Phone (502) 357-9211

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1107416KYMDGerontology Registered Nurse
4047675KYMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CHM Mobile Care CurrentSince Oct 21, 2025 Accepting new patients
Community Care Health Network LLC Nurse Practitioner CurrentSince Nov 1, 2025 Accepting new patients
Brooks Family Medical LLC CurrentSince Dec 1, 2025 Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

3499 Blazer Pkwy
Ste 330
Lexington, KY 40509
Phone (410) 885-4727

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

713 Main St
Ste A
Shelbyville, KY 40065
Phone (804) 877-6601

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.

Hospital & facility affiliations 3

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": "1726790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1487471579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 ILLINOIS AVE APT E2",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402131054",
            "telephone_number": "502-243-5842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 E MARKET ST # A",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021218",
            "telephone_number": "502-588-4340",
            "fax_number": "502-588-4341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELZEY",
        "first_name": "MELISSA",
        "middle_name": "MICHELLE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-20",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "KY",
            "license": "4047675",
            "primary": true
        },
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "KY",
            "license": "1107416",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.