Individual provider Active NPI

Mechelle Kelley, RN

  • Registered Nurse
  • Georgetown, KY
National Provider Identifier
1881533214
Registry record updated Mar 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
4026411 Issued in KY
Practice address
111 N Hamilton St Ste 1
Georgetown, KY 40324-1709
Phone
(502) 603-0027
NPI assigned
Mar 28, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4026411 KY Primary

Addresses

Primary practice location

111 N Hamilton St Ste 1
Georgetown, KY 40324-1709

Mailing address

111 N Hamilton St Ste 1
Georgetown, KY 40324-1709
Phone (502) 603-0027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
4026411KYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Cypress IV and Wellness Current Accepting new patients

Locations

111 N Hamilton St
Ste 1
Georgetown, KY 40324
Phone (502) 603-0027

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1774656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774656000000",
    "number": "1881533214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N HAMILTON ST STE 1",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403241709",
            "telephone_number": "502-603-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N HAMILTON ST STE 1",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403241709",
            "telephone_number": "502-603-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "MECHELLE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-28",
        "last_updated": "2026-03-28",
        "certification_date": "2026-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "4026411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.