Individual provider Active NPI

Kelli Stearman Nunn, APRN

  • Family Nurse Practitioner
  • Campbellsville, KY
National Provider Identifier
1548742869
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3012632 Issued in KY
Practice address
111 Kingswood Dr
Campbellsville, KY 42718-9608
Phone
(270) 465-3561
NPI assigned
Sep 4, 2018
Last updated
Jun 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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 3012632 KY Primary

Addresses

Primary practice location

111 Kingswood Dr
Campbellsville, KY 42718-9608

Mailing address

PO Box 1080
Burkesville, KY 42717-1080
Phone (270) 864-1472

Other practice location 1

302 Brummal Ave
Greensburg, KY 42743-1004
Phone (844) 435-0900

Other identifiers 1

IdentifierTypeStateIssuer
7100555870MedicaidKY

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
I20181004002757 KY Practitioner - Nurse Practitioner 5092067868 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Taylor Regional Medical Group LLCGroup PAC ID 4880616622, shared by 4 NPIs, 60 clinicians

Practice addresses (Care Compare)

360 Keen St
Burkesville, KY 42717-7915
Phone (270) 864-2889

67 Kingswood Dr
Campbellsville, KY 42718-9647

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3012632KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland Family Medical Center Inc CurrentSince Jul 26, 2021 Accepting new patients
Taylor Regional Medical Group LLC Family CurrentSince Sep 4, 2018 Accepting new patients
Taylor Regional Medical Group,LLC Current Accepting new patients
Taylor Regional Medical Group Family CurrentSince Mar 1, 2020 Accepting new patients
Taylor Regional Medical Group, LLC Family CurrentSince Sep 4, 2018 Accepting new patients
Cumberland Family Medical Center Inc CurrentSince Jul 26, 2021 Accepting new patients
Cumberland Family Medical Center Inc Past Accepting new patients

Locations

360 Keen St
Burkesville, KY 42717
Phone (270) 864-1472

111 Kingswood Dr
Campbellsville, KY 42718
Phone (270) 789-5822

1700 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

67 Kingswood Dr
Campbellsvlle, KY 42718
Phone (270) 465-2116

1698 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

302 Brummal Ave
Greensburg, KY 42743
Phone (270) 932-6610

Organizations & group practices 7

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 2

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": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1548742869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1080",
            "city": "BURKESVILLE",
            "state": "KY",
            "postal_code": "427171080",
            "telephone_number": "270-864-1472",
            "fax_number": "270-864-1693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 KINGSWOOD DR",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427189608",
            "telephone_number": "270-465-3561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "302 Brummal Ave",
            "address_purpose": "LOCATION",
            "city": "Greensburg",
            "state": "KY",
            "postal_code": "427431004",
            "country_code": "US",
            "telephone_number": "844-435-0900",
            "fax_number": "270-858-4029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUNN",
        "first_name": "KELLI",
        "middle_name": "STEARMAN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-04",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3012632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100555870",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbellsville, KY

Sources for this page

Verify at the official NPI Registry.