STEPHANIE RAE KELTY APRN
NPI 1003310921
Nurse Practitioner - Pediatrics in Elizabethtown, KY

Q: What is Stephanie Kelty's NPI number?

The NPI number for Stephanie Kelty is 1003310921. It was assigned to this individual provider in the NPPES registry on March 23, 2018.

Q: What is Stephanie Kelty's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Stephanie Kelty was last updated on August 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 23, 2018PECOS Enrolled

1301 RING RD, ELIZABETHTOWN, KY 42701(270) 765-2107(270) 769-9642 Get Directions Write a Review

NPPES record last updated: August 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 22, 2024, Oct 15, 2019, Oct 2, 2019 and 3 more (6 updates tracked since 2018).

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About Stephanie Rae Kelty Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE RAE KELTY APRN (NPI 1003310921) is an individual pediatrics provider in Elizabethtown, Kentucky, licensed in Kentucky (3012197) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003310921

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameSTEPHANIE RAE KELTYCredential: APRN

Location Address1301 RING RDElizabethtown, KY 42701-8968

Mailing AddressPo Box 776351Chicago, IL 60677-6351 · (502) 588-9490 · Fax (502) 272-5116

Phone(270) 765-2107

Fax(270) 769-9642

Sole ProprietorNo

Enumeration DateMarch 23, 2018

Last NPPES UpdateAugust 22, 20246 updates tracked since enumeration

NPPES CertifiedAugust 22, 2024

✔ NPI 1003310921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in KY · 3012197

1301 RING RD, Elizabethtown, KY 42701

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie Rae Kelty Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTINA L KNISELY MD

Pediatrics