Keisha Shae Perkins, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3014444 Issued in KY

Practice address

421 W Highway 80
London, KY 40741-1070

Phone

(606) 657-2345

Fax

(606) 657-2346

NPI assigned

Mar 12, 2020

Last updated

Jul 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Laurel Medical Services LLCGroup PAC ID 9638530785, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Joseph London Hospital, London, KY, CCN 180011
• Baptist Health Corbin Hospital, Corbin, KY, CCN 180080

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Laurel Medical Services LLC

  • Rural Health Clinic/Center
  • London, KY
  • NPI 1720819980

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control, W-2 Managing Employee

  CMS ownership

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.

• Laurel Medical Services LLC

  • Primary Care Clinic/Center
  • London, KY
  • NPI 1427733328
  Medicare reassignment Care Compare group NPD Authorized official
• Mercy Medical Clinic PLLC

  • Family Medicine Physician
  • Corbin, KY
  • NPI 1528557147
  Medicare reassignment NPD
• Laurel Medical Services LLC

  • Rural Health Clinic/Center
  • London, KY
  • NPI 1720819980
  NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Healthcare System, Inc

  dba Baptist Health Corbin

  • General Acute Care Hospital
  • Corbin, KY
  • NPI 1902865389
  Care Compare affiliation
• Saint Joseph Health System, Inc

  dba CHI Saint Joseph London

  • Rural Acute Care Hospital
  • London, KY
  • NPI 1992701429
  Care Compare affiliation

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

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1548896335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 W HIGHWAY 80",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407411070",
            "telephone_number": "606-657-2345",
            "fax_number": "606-657-2346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 W HIGHWAY 80",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407411070",
            "telephone_number": "606-657-2345",
            "fax_number": "606-657-2346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "KEISHA",
        "middle_name": "SHAE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-12",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "3014444",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3014444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Feltner Payne, SLP
• Ambrosia Peden, OD
• Trevor Peden, OD
• Rick Anthony Pellant, D.O.
• Pepperhill Dental Care PLLC
• Richard B Perkins, M.D.
• Courtney Nicole Perry-Jackson, LPCC
• Maryann Perry, APRN, FNP-C
• Whitney N Peyman, DPT
• Melinda Mae Pezzi

• Family Nurse Practitioner in London, KY
• Providers in London, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.