Individual provider Active NPI

Adriana Irene Kelly, APRN

  • Women's Health Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1902655210
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
4023085 Issued in KY
Practice address
800 Rose St Whitney Hendrickson BLDG Ste 331a
Lexington, KY 40536-7001
Phone
(859) 323-5553
Fax
(859) 323-1602
NPI assigned
May 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1167428 KY
Women's Health Nurse Practitioner 363LW0102X 4023085 KY Primary

Addresses

Primary practice location

800 Rose St Whitney Hendrickson BLDG Ste 331a
Lexington, KY 40536-7001

Mailing address

3691 Rabbits Foot TRL Apt 8
Lexington, KY 40503-3772
Phone (502) 939-4331

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
I20240809003073 KY Practitioner - Nurse Practitioner 8628516556 Reassigns benefits to 2 organizations

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
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

1780 Nicholasville Rd
Suite 101
Lexington, KY 40503-1456
Phone (859) 278-5671

Hospital & facility affiliations

  • Baptist Health Lexington Hospital, Lexington, KY, CCN 180103

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1167428KYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
University of Kentucky CurrentSince Jul 18, 2024 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Apr 1, 2025 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Apr 1, 2025 Accepting new patients
Baptist Health Medical Group Inc Current Accepting new patients

Locations

800 Rose St
Fl Third
Lexington, KY 40536

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

800 Rose St
Ste 331A
Lexington, KY 40536
Phone (859) 257-4488

1780 Nicholasville Rd
Ste 101
Lexington, KY 40503
Phone (859) 278-2671

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

Organizations & group practices 4

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 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": "1715904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1902655210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3691 RABBITS FOOT TRL APT 8",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033772",
            "telephone_number": "502-939-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ROSE ST WHITNEY HENDRICKSON BLDG STE 331A",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405367001",
            "telephone_number": "859-323-5553",
            "fax_number": "859-323-1602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "ADRIANA",
        "middle_name": "IRENE",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-17",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1167428",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "KY",
            "license": "4023085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.