Individual provider Active NPI

Kelsey Irene Schamp, APRN

  • Family Nurse Practitioner
  • Hopkinsville, KY
National Provider Identifier
1750066114
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4005190 Issued in KY
Practice address
10755 Eagle Way Ste 100
Hopkinsville, KY 42240-8742
Phone
(270) 887-0270
Fax
(270) 886-3969
NPI assigned
Jun 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 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 4005190 KY Primary

Addresses

Primary practice location

10755 Eagle Way Ste 100
Hopkinsville, KY 42240-8742

Mailing address

PO Box 2400
Hopkinsville, KY 42241-2400
Phone (270) 707-2100

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
I20231030002232 KY Practitioner - Nurse Practitioner 9739535659 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
Jennie Stuart Medical Center IncGroup PAC ID 4183607252, 113 clinicians

Practice addresses (Care Compare)

10755 Eagle Way
Suite 100
Hopkinsville, KY 42240-8742
Phone (270) 887-0270

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4005190KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jennie Stuart Medical Center Inc CurrentSince Dec 1, 2023 Accepting new patients
Jennie Stuart Medical Center Inc Family Current Accepting new patients
Jennie Stuart Medical Center Inc CurrentSince Dec 1, 2023 Accepting new patients

Locations

320 W 18th St
Hopkinsville, KY 42240
Phone (270) 887-0100

10755 Eagle Way
Ste 100
Hopkinsville, KY 42240
Phone (270) 887-0270

10755 Eagle Way
Ste 202
Hopkinsville, KY 42240
Phone (270) 887-5640

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 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": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1750066114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2400",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422412400",
            "telephone_number": "270-707-2100",
            "fax_number": "270-707-2103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10755 EAGLE WAY STE 100",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422408742",
            "telephone_number": "270-887-0270",
            "fax_number": "270-886-3969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAMP",
        "first_name": "KELSEY",
        "middle_name": "IRENE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-21",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4005190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkinsville, KY

Sources for this page

Verify at the official NPI Registry.