NPIMap

Individual provider Active NPI

Kelsey Love Holmes, APRN

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1821415399
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3008292 Issued in KY
Practice address
676 S Floyd St
Suite 200
Louisville, KY 40202-1840
Phone
(502) 629-4440
Fax
(502) 629-4599
NPI assigned
Mar 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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 3008292 KY Primary

Addresses

Primary practice location

676 S Floyd St
Suite 200
Louisville, KY 40202-1840

Mailing address

1930 Bishop LN
Suite 1017
Louisville, KY 40218-1921
Phone (502) 272-5754

Other identifiers 3

IdentifierTypeStateIssuer
201242750MedicaidIN
3008292OtherKYLICENSE
7100300570MedicaidKY

Other names 1

  • Kelsey Love Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address klove46693@direct.nortonhealthcare.org
FHIR URL https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140421000775 KY Practitioner - Nurse Practitioner 4385876648 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians

Practice addresses (Care Compare)

825 Barret Ave
Louisville, KY 40204-1743
Phone (502) 272-5165

Hospital & facility affiliations

  • Norton Hospitals, Inc Hospital, Louisville, KY, CCN 180088

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3008292KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Family Current Accepting new patients
Community Medical Associates, Inc. CurrentSince May 6, 2019 Accepting new patients
Norton Hospitals, Inc Family CurrentSince Mar 24, 2014 Accepting new patients
Community Medical Associates, Inc. CurrentSince May 6, 2019 Accepting new patients
Norton Hospitals Inc Family CurrentSince Mar 24, 2014 Accepting new patients
Community Medical Associates, Inc. Past Accepting new patients

Locations

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

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

4123 Dutchmans Ln
Ste 101
Louisville, KY 40207
Phone (502) 559-1777

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

210 E Gray St
Ste 604
Louisville, KY 40202
Phone (502) 629-5440

3 Audubon Plaza Dr
Ste 430
Louisville, KY 40217
Phone (502) 636-4900

315 E Broadway
Louisville, KY 40202
Phone (502) 272-5331

1930 Bishop Ln
Ste 1017
Louisville, KY 40218
Phone (502) 272-5064

4950 Norton Healthcare Blvd
Ste 300
Louisville, KY 40241
Phone (502) 394-6350

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

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

Organizations & group practices 6

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 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": "1395619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1821415399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 BISHOP LN",
            "address_2": "SUITE 1017",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402181921",
            "telephone_number": "502-272-5754",
            "fax_number": "502-272-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 S FLOYD ST",
            "address_2": "SUITE 200",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021840",
            "telephone_number": "502-629-4440",
            "fax_number": "502-629-4599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "KELSEY",
        "middle_name": "LOVE",
        "name_prefix": "Miss",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-24",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3008292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201242750",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "3008292",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100300570",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "klove46693@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "676 S Floyd St",
            "address_2": "SUITE 200",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402021840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "676 S Floyd St",
            "address_2": "SUITE 200",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402021840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "LOVE",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.