Individual provider Active NPI

Kelly S. Simpson, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Glasgow, KY
National Provider Identifier
1982904777
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3006619 Issued in KY
Practice address
100 S Broadway St
Glasgow, KY 42141-2604
Phone
(270) 861-0606
Fax
(270) 629-2444
NPI assigned
Oct 26, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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 3006619 KY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3006619 KY Primary

Addresses

Primary practice location

100 S Broadway St
Glasgow, KY 42141-2604

Mailing address

1005 Hwy 22 East
Triad Health Systems
Owenton, KY 40359
Phone (502) 547-1010

Other identifiers 1

IdentifierTypeStateIssuer
7100167220MedicaidKY

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
I20110616000531 KY Practitioner - Nurse Practitioner 2961680160 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oaks Behavioral Health PLLCGroup PAC ID 7416298948, 8 clinicians

Practice addresses (Care Compare)

100 S Broadway St
Glasgow, KY 42141-2604
Phone (270) 861-0606

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oaks Behavioral Health PLLC Psychiatric/Mental Health CurrentSince Jul 10, 2024 Accepting new patients
Bourbon Physician Practice LLC Family Past Accepting new patients
North Lexington Urgent Treatment Associates PSC Family Past Accepting new patients

Locations

100 S Broadway St
Glasgow, KY 42141
Phone (270) 281-2559

1320 W Main St
#B
Glasgow, KY 42141

169 County Pike
Harlan, KY 40831
Phone (606) 573-5105

162 E Somerset Church Rd
Somerset, KY 42503

441 US Highway 42 W
Warsaw, KY 41095
Phone (859) 567-1271

Organizations & group practices 3

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": "1288051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1982904777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 HWY 22 EAST",
            "address_2": "TRIAD HEALTH SYSTEMS",
            "city": "OWENTON",
            "state": "KY",
            "postal_code": "40359",
            "telephone_number": "502-547-1010",
            "fax_number": "859-567-1253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S BROADWAY ST",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421412604",
            "telephone_number": "270-861-0606",
            "fax_number": "270-629-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "KELLY",
        "middle_name": "S.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-26",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3006619",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3006619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100167220",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glasgow, KY

Sources for this page

Verify at the official NPI Registry.