Individual provider Active NPI

Kylee Jo Dreisbach, PA-C

  • Physician Assistant
  • Louisville, KY
National Provider Identifier
1699494823
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA3092 Issued in KY
Practice address
4955 Norton Healthcare Blvd
Louisville, KY 40241-2832
Phone
(502) 394-6350
Fax
(502) 394-6351
NPI assigned
Aug 23, 2022
Last updated
Nov 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA3092 KY Primary

Addresses

Primary practice location

4955 Norton Healthcare Blvd
Louisville, KY 40241-2832

Mailing address

PO Box 776347
Chicago, IL 60677-6347
Phone (502) 588-9490

Other identifiers 2

IdentifierTypeStateIssuer
TC266OtherKYMEDICAL LICENSE
1197448OtherNCCPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://ralouisville.com/contact.html Other

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
I20220929000517 KY Practitioner - Physician Assistant 0446636492 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norton Hospitals, IncGroup PAC ID 9830001528, 137 clinicians

Practice addresses (Care Compare)

2355 Poplar Level Rd
Suite 405
Louisville, KY 40217-1389
Phone (502) 636-7845

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.41 of 100Reported as group
Quality
97.36
Improvement activities
40
Cost
71.57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA3092KYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Hospitals Inc Physician Assistant CurrentSince Jul 1, 2025 Accepting new patients
Norton Hospitals, Inc CurrentSince Jul 1, 2025 Accepting new patients

Locations

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

2355 Poplar Level Rd
Ste 405
Louisville, KY 40217
Phone (502) 636-7845

315 E Broadway
Fl 4
Louisville, KY 40202
Phone (502) 272-5165

3991 Dutchmans Ln
Ste 300
Louisville, KY 40207
Phone (502) 899-6411

3991 Dutchmans Ln
Ste 405
Louisville, KY 40207
Phone (502) 899-3366

4915 Norton Healthcare Blvd
Ste 103
Louisville, KY 40241
Phone (502) 446-6640

4955 Norton Healthcare Blvd
Louisville, KY 40241
Phone (502) 394-6350

676 S Floyd St
Louisville, KY 40202
Phone (502) 629-2500

676 S Floyd St
Lowr
Louisville, KY 40202
Phone (502) 629-2500

676 S Floyd St
Ste 200
Louisville, KY 40202
Phone (502) 629-2500

8033 Dixie Hwy
Louisville, KY 40258
Phone (502) 937-3154

850 S 28th St
Ste 104
Louisville, KY 40211
Phone (502) 394-5678

131 Stonecrest Rd
Ste 100
Shelbyville, KY 40065
Phone (502) 633-7093

Interoperability endpoints

  • Direct secure messaging: jonespa.kylee.p1@direct.ralou.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1699494823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776347",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776347",
            "telephone_number": "502-588-9490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4955 NORTON HEALTHCARE BLVD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412832",
            "telephone_number": "502-394-6350",
            "fax_number": "502-394-6351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREISBACH",
        "first_name": "KYLEE",
        "middle_name": "JO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-23",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA3092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "TC266",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA",
            "identifier": "1197448",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://ralouisville.com/contact.html",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Business Hours",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Contact Information",
            "address_1": "3430 Newburg Rd Ste 250",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402182458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.