Individual provider Active NPI

Kasey Jean Hollenbach

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1760864169
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71007701A Issued in IN
Practice address
1205 Audubon Pkwy
Louisville, KY 40213-1236
Phone
(502) 439-2617
NPI assigned
Jun 22, 2015
Last updated
Mar 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1128381 KY
Family Nurse Practitioner 363LF0000X 71007701A IN Primary

Addresses

Primary practice location

1205 Audubon Pkwy
Louisville, KY 40213-1236

Mailing address

1701 Spring St Ste B
Jeffersonville, IN 47130-2930

Other practice location 1

3039 Breckenridge Ln
Louisville, KY 40220-2101
Phone (502) 451-4555

Other practice location 2

1701 Spring St Ste B
Jeffersonville, IN 47130-2930
Phone (812) 284-2273

Other identifiers 1

IdentifierTypeStateIssuer
300017592MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN, OH, WV4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20150825003359 KY Practitioner - Nurse Practitioner 8325354152 Reassigns benefits to 5 organizations
I20180222002191 IN Practitioner - Nurse Practitioner 8325354152 Reassigns benefits to 5 organizations
I20241119004833 OH Practitioner - Nurse Practitioner 8325354152 Reassigns benefits to 2 organizations
I20250730002412 WV Practitioner - Nurse Practitioner 8325354152 Reassigns benefits to 1 organization

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
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians
Sound Physicians of Indiana LLCGroup PAC ID 4981841780, 76 clinicians

Practice addresses (Care Compare)

11690 Grooms Rd
Blue Ash, OH 45242-1412
Phone (812) 284-2273

1202 E Tipton St
Seymour, IN 47274-3540
Phone (812) 672-4933

1379 Van Voorhis Rd
Morgantown, WV 26505-3415
Phone (812) 284-2273

1701 Spring St
Suite B
Jeffersonville, IN 47130-2930
Phone (812) 284-2273

4152 W State Rd
Hanover, IN 47243-9070
Phone (901) 351-1791

5215 Holy Cross Pkwy
Mishawaka, IN 46545-1469
Phone (574) 335-5000

6021 S Arlington Ave
Indianapolis, IN 46237-3164
Phone (317) 999-9292

9107 Taylorsville Rd
Louisville, KY 40299-1751
Phone (888) 788-2501

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71007701AINMDFamily Nurse Practitioner
1128381KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Wound Care LLC CurrentSince Jul 2, 2025 Accepting new patients
Nautilus Health Care Group, PLC CurrentSince Nov 28, 2016 Accepting new patients
Sound Physicians of Indiana, LLC CurrentSince May 1, 2023 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Oct 28, 2021 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 22, 2025 Accepting new patients
Total Care Family Practice Rick Bobay LLC Family CurrentSince Jul 9, 2018 Accepting new patients
Healogics Specialty Physicians of Indiana, LLC CurrentSince Jan 21, 2018 Accepting new patients
Fast Pace Kentucky PLLC Family CurrentSince Jan 1, 2021 Accepting new patients
Sound Physicians of Indiana, LLC CurrentSince May 1, 2023 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 22, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Oct 28, 2021 Accepting new patients
Total Care Family Practice Rick Bobay LLC Family CurrentSince Jul 9, 2018 Accepting new patients
Fast Pace Kentucky, PLLC CurrentSince Jan 1, 2021 Accepting new patients
Major Hospital Past Accepting new patients
Fast Pace Kentucky, PLLC Past Accepting new patients

Locations

5220 Belfort Rd
Ste 130
Jacksonville, FL 32256
Phone (904) 446-3686

1159 W Jefferson St
Ste 204
Franklin, IN 46131

4152 W State Road 56
Hanover, IN 47243
Phone (812) 762-4510

1701 Spring St
Ste B
Jeffersonvlle, IN 47130
Phone (812) 284-2272

1907 W Sycamore St
Kokomo, IN 46901
Phone (765) 452-5611

5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443

4301 N Walnut St
Muncie, IN 47303
Phone (765) 282-0053

1 Silvercrest Dr
New Albany, IN 47150
Phone (812) 399-3970

3118 Green Valley Rd
New Albany, IN 47150
Phone (502) 648-7291

200 Connie Ave
Salem, IN 47167
Phone (812) 725-7810

2309 S Miller St
Shelbyville, IN 46176
Phone (317) 396-9781

401 Main St
Benton, KY 42025
Phone (270) 906-0369

796 W Broadway St
Campbellsville, KY 42718
Phone (270) 572-4933

1475 Nashville Rd
Franklin, KY 42134
Phone (270) 813-1111

9107 Taylorsville Rd
Louisville, KY 40299
Phone (502) 380-6585

420 Martin Luther King Hwy
Maysville, KY 41056
Phone (606) 375-4817

115 Tradepark Dr
Ste A
Somerset, KY 42503
Phone (606) 678-5708

353 Bogle St
Somerset, KY 42503
Phone (606) 451-3820

11690 Grooms Rd
Blue Ash, OH 45242
Phone (317) 870-1396

1160 Dublin Rd
Ste 400
Columbus, OH 43215
Phone (502) 439-2617

1379 Van Voorhis Rd
Morgantown, WV 26505
Phone (304) 559-9480

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 3

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": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1760864169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 SPRING ST STE B",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471302930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 AUDUBON PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402131236",
            "telephone_number": "502-439-2617"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3039 Breckenridge Ln",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402202101",
            "country_code": "US",
            "telephone_number": "502-451-4555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 Spring St Ste B",
            "address_purpose": "LOCATION",
            "city": "Jeffersonville",
            "state": "IN",
            "postal_code": "471302930",
            "country_code": "US",
            "telephone_number": "812-284-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLENBACH",
        "first_name": "KASEY",
        "middle_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-22",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "1128381",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71007701A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300017592",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.