Individual provider Active NPI

Kelsie Renea Ward, RN, MSN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Prospect, KY
National Provider Identifier
1902640006
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4023123 Issued in KY
Practice address
5807 Harrods Glen Dr
Prospect, KY 40059-7650
Phone
(502) 690-1711
Fax
(502) 385-6546
NPI assigned
Jun 24, 2024
Last updated
May 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4023123 KY Primary

Addresses

Primary practice location

5807 Harrods Glen Dr
Prospect, KY 40059-7650

Mailing address

362 Kenwood Hill Rd
Louisville, KY 40214-3561
Phone (502) 690-1711

Other practice location 1

362 Kenwood Hill Rd
Louisville, KY 40214-3561
Phone (502) 690-1711

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
I20250331001564 KY Practitioner - Nurse Practitioner 0648793695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
US Psychiatry PLLCGroup PAC ID 4385937598, 12 clinicians

Practice addresses (Care Compare)

5807 Harrods Glen Dr
Prospect, KY 40059-7650
Phone (502) 419-0410

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
4023123KYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
US Psychiatry PLLC CurrentSince Feb 1, 2025 Accepting new patients
US Family Care Psychiatry PLLC Psychiatric/Mental Health PastSince Mar 1, 2025 Accepting new patients

Locations

2020 Newburg Rd
Louisville, KY 40205
Phone (502) 315-1458

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1902640006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 KENWOOD HILL RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402143561",
            "telephone_number": "502-690-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5807 HARRODS GLEN DR",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "400597650",
            "telephone_number": "502-690-1711",
            "fax_number": "502-385-6546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "362 Kenwood Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402143561",
            "country_code": "US",
            "telephone_number": "502-690-1711",
            "fax_number": "502-385-6546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARD",
        "first_name": "KELSIE",
        "middle_name": "RENEA",
        "credential": "RN, MSN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-24",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "4023123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prospect, KY

Sources for this page

Verify at the official NPI Registry.