Individual provider Active NPI

Kelsey Elizabeth Pedley, APRN

  • Family Nurse Practitioner
  • Owensboro, KY
National Provider Identifier
1679930499
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3010046 Issued in KY
Practice address
2200 E Parrish Ave Ste 201
Owensboro, KY 42303-1449
Phone
(270) 688-1670
Fax
(270) 688-1680
NPI assigned
Jan 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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 3010046 KY Primary

Addresses

Primary practice location

2200 E Parrish Ave Ste 201
Owensboro, KY 42303-1449

Mailing address

2707 Breckenridge St
Suite 2
Owensboro, KY 42303-1385
Phone (270) 683-1808

Other practice location 1

2707 Breckenridge St
Suite 2
Owensboro, KY 42303-1385
Phone (270) 683-1808

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
I20160202000496 KY Practitioner - Nurse Practitioner 2860796455 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Owensboro Health, IncGroup PAC ID 0547154650, shared by 9 NPIs, 179 clinicians
Owensboro Health Medical Group IncGroup PAC ID 0648255034, 455 clinicians

Practice addresses (Care Compare)

1006 Ford Ave
Owensboro, KY 42301-4677
Phone (270) 688-4845

2200 E Parrish Ave BLDG E
Suite 201
Owensboro, KY 42303-1451
Phone (270) 688-1670

Hospital & facility affiliations

  • Owensboro Health Regional Hospital Hospital, Owensboro, KY, CCN 180038

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3010046KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Owensboro Health Medical Group Inc Family CurrentSince Mar 31, 2024 Accepting new patients
Owensboro Health Medical Group Inc Current Accepting new patients
Vineyard Primary Care PLLC Family CurrentSince Jan 2, 2023 Accepting new patients
Owensboro Health Medical Group Inc Family CurrentSince Mar 31, 2024 Accepting new patients
Owensboro Health Medical Group, Inc Family Past Accepting new patients

Locations

2200 E Parrish Ave
Bldg E
Owensboro, KY 42303
Phone (270) 663-1304

2200 E Parrish Ave
Ste 201
Owensboro, KY 42303
Phone (270) 926-3700

2851 New Hartford Rd
#A
Owensboro, KY 42303
Phone (270) 240-2305

2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351

2707 Breckenridge St
Ste 2
Owensboro, KY 42303
Phone (270) 683-1808

3805 Fairview Dr
Owensboro, KY 42303
Phone (270) 240-2305

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19567/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kpedley61406@direct.owensborohealth.org

Organizations & group practices 5

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 1

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": "1453680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1679930499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 BRECKENRIDGE ST",
            "address_2": "SUITE 2",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031385",
            "telephone_number": "270-683-1808",
            "fax_number": "270-683-1848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 E PARRISH AVE STE 201",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031449",
            "telephone_number": "270-688-1670",
            "fax_number": "270-688-1680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2707 Breckenridge St",
            "address_2": "Suite 2",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423031385",
            "country_code": "US",
            "telephone_number": "270-683-1808",
            "fax_number": "270-683-1848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEDLEY",
        "first_name": "KELSEY",
        "middle_name": "ELIZABETH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-25",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3010046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.