Individual provider Active NPI

Kaley Bebout, APRN

  • Family Nurse Practitioner
  • Benton, KY
National Provider Identifier
1750908299
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3014671 Issued in KY
Practice address
34 US Highway 68 E Unit B
Benton, KY 42025-8336
Phone
(270) 527-4933
Fax
(270) 414-0030
NPI assigned
Jul 1, 2020
Last updated
Nov 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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 3014671 KY Primary

Addresses

Primary practice location

34 US Highway 68 E Unit B
Benton, KY 42025-8336

Mailing address

34 US Highway 68 E Unit B
Benton, KY 42025-8336
Phone (270) 527-4933

Other practice location 1

34 US Highway 68 E Unit B
Benton, KY 42025-8336
Phone (270) 527-4933

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
I20211222001774 KY Practitioner - Nurse Practitioner 6103217369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

617 Old Symsonia Rd
Benton, KY 42025-5042
Phone (270) 527-2411

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Marshall County Hospital District Family CurrentSince Jul 1, 2025 Accepting new patients
Marshall County Hospital District CurrentSince Jul 1, 2025 Accepting new patients
Baptist Healthcare System Inc PastSince Oct 1, 2021 Accepting new patients
Four Rivers Internal Medicine, PLLC Family PastSince Oct 1, 2021 Accepting new patients
Mercy Health Physicians Kentucky LLC Past Accepting new patients

Locations

617 Old Symsonia Rd
Benton, KY 42025
Phone (270) 527-2411

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.

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": "1593561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1750908299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 US HIGHWAY 68 E UNIT B",
            "city": "BENTON",
            "state": "KY",
            "postal_code": "420258336",
            "telephone_number": "270-527-4933",
            "fax_number": "270-414-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 US HIGHWAY 68 E UNIT B",
            "city": "BENTON",
            "state": "KY",
            "postal_code": "420258336",
            "telephone_number": "270-527-4933",
            "fax_number": "270-414-0030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34 US Highway 68 E Unit B",
            "address_purpose": "LOCATION",
            "city": "Benton",
            "state": "KY",
            "postal_code": "420258336",
            "country_code": "US",
            "telephone_number": "270-527-4933",
            "fax_number": "270-414-0030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEBOUT",
        "first_name": "KALEY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-01",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3014671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton, KY

Sources for this page

Verify at the official NPI Registry.