Individual provider Active NPI

William Eric Kelley, FNP

  • Family Nurse Practitioner
  • Bowling Green, KY
National Provider Identifier
1710577440
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3016630 Issued in KY
Practice address
165 Natchez Trace Ave
Bowling Green, KY 42103-7940
Phone
(270) 780-7800
Fax
(270) 843-0779
NPI assigned
Jan 26, 2021
Last updated
Mar 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 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 3016630 KY Primary

Addresses

Primary practice location

165 Natchez Trace Ave
Bowling Green, KY 42103-7940

Mailing address

201 Park St
Bowling Green, KY 42101-1708
Phone (270) 782-7800

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
I20221123000793 KY Practitioner - Nurse Practitioner 9234507245 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Graves Gilbert Clinic PLLCGroup PAC ID 4082511167, 207 clinicians

Practice addresses (Care Compare)

165 Natchez Trace Ave
Bowling Green, KY 42103-7940
Phone (270) 782-7800

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Kentucky Primary Care, P.S.C. CurrentSince Oct 12, 2022 Accepting new patients
Emergency Medicine Services of Ky, LLC Family CurrentSince Apr 1, 2023 Accepting new patients
Graves Gilbert Clinic PLLC CurrentSince Jan 2, 2026 Accepting new patients
Graves Gilbert Clinic PLLC CurrentSince Jan 2, 2026 Accepting new patients
Western Kentucky Orthopaedic and Neurosurgical Associates PLLC PastSince Oct 12, 2022 Accepting new patients

Locations

165 Natchez Trace Ave
Bowling Green, KY 42103
Phone (270) 782-7800

1801 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-4330

201 Park St
Bowling Green, KY 42101
Phone (270) 651-2229

1112 S Main St
Franklin, KY 42134
Phone (270) 586-1969

1739 Canton St
Hopkinsville, KY 42240
Phone (270) 881-1411

101 W 2nd St
Russellville, KY 42276
Phone (270) 725-8200

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, 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": "1611619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1710577440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 PARK ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011708",
            "telephone_number": "270-782-7800",
            "fax_number": "270-843-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 NATCHEZ TRACE AVE",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421037940",
            "telephone_number": "270-780-7800",
            "fax_number": "270-843-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "WILLIAM",
        "middle_name": "ERIC",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-26",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3016630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.