Individual provider Active NPI

Chelsea Pugh

  • Family Nurse Practitioner
  • Bellevue, KY
National Provider Identifier
1679254908
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4007385 Issued in KY
Practice address
53 Donnermeyer Dr
Bellevue, KY 41073-1352
Phone
(859) 815-7062
NPI assigned
Jul 28, 2023
Last updated
Aug 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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 4007385 KY Primary

Addresses

Primary practice location

53 Donnermeyer Dr
Bellevue, KY 41073-1352

Mailing address

1734 Highland Ridge Blvd
Highland Heights, KY 41076-1258
Phone (859) 394-2582

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230815004189 KY Practitioner - Nurse Practitioner 2961864459 Reassigns benefits to 1 organization
I20250902002440 OH Practitioner - Nurse Practitioner 2961864459 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ultra Health LLCGroup PAC ID 6800186602, 151 clinicians

Practice addresses (Care Compare)

6900 Beechmont Ave
Cincinnati, OH 45230-2910
Phone (731) 394-1145

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4007385KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kiosk Medicine Kentucky LLC Family CurrentSince Jul 28, 2023 Accepting new patients
Ultra Health LLC CurrentSince Aug 19, 2025 Accepting new patients

Locations

53 Donnermeyer Dr
Bellevue, KY 41073
Phone (859) 431-5413

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

6900 Beechmont Ave
Mount Washington, OH 45230
Phone (513) 231-4561

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14578/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1690502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1679254908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1734 HIGHLAND RIDGE BLVD",
            "city": "HIGHLAND HEIGHTS",
            "state": "KY",
            "postal_code": "410761258",
            "telephone_number": "859-394-2582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 DONNERMEYER DR",
            "city": "BELLEVUE",
            "state": "KY",
            "postal_code": "410731352",
            "telephone_number": "859-815-7062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUGH",
        "first_name": "CHELSEA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-28",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4007385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, KY

Sources for this page

Verify at the official NPI Registry.