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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

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: October 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 9, 2026, Aug 22, 2024, Oct 15, 2019 and 4 more (7 updates tracked since 2018).

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 UpdateOctober 9, 20267 updates tracked since enumeration
NPPES CertifiedOctober 9, 2026
✔ 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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Stephanie Kelty reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Medical Associates
0.7 mi
Radiology
157 TOWNE DR STE 101
Elizabethtown, KY 42701
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,896 clinicians in this Medicare group
NPI 1669245510 (270) 740-5201
Norton Children's Medical Group, LLC
44 mi
Clinical Genetics (M.D.)
4803 OLYMPIA PARK PLZ STE 1100
Louisville, KY 40241
  • Reassigned Medicare billing, Kentucky enrollment
  • Medicare enrollment name: Norton Childrens Medical Group LLC
  • 1,008 clinicians in this Medicare group
NPI 1013559921 (502) 272-5336

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
1301 RING RD
ELIZABETHTOWN, KY 42701
Hardin County (270) 765-2107
LINNEA L SMITH MD
Pediatrics
1301 RING RD
ELIZABETHTOWN, KY 42701
Hardin County (270) 765-2107
DR. HILARY ANDERSON M.D.
Pediatrics
1301 RING RD
ELIZABETHTOWN, KY 42701
Hardin County (270) 765-2107
ALEXIS COLE M.D.
Pediatrics
1301 RING RD
ELIZABETHTOWN, KY 42701
Hardin County (270) 765-2107
TYLER B HARP MD
Pediatrics
1301 RING RD
ELIZABETHTOWN, KY 42701
Hardin County (270) 765-2107
AMANDA R. OWEN ARNP
Nurse Practitioner (Pediatrics)
1301 RING RD
ELIZABETHTOWN, KY 42701
Hardin County (270) 765-2107
PHILLIP G PADGETT M.D.
Pediatrics
1301 RING RD
ELIZABETHTOWN, KY 42701
Hardin County (270) 765-2107
MICHELLE JACKSON SUMRALL MD
Pediatrics
1301 RING RD
ELIZABETHTOWN, KY 42701
Hardin County (270) 765-2107

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Stephanie Kelty located?

Stephanie Kelty practices at 1301 Ring Rd, Elizabethtown, KY 42701. The listed phone number is (270) 765-2107.

What is Stephanie Kelty's specialty?

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

Is Stephanie Kelty enrolled in Medicare?

Yes. Stephanie Kelty is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Stephanie Kelty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Kelty reassigns Medicare benefits to 2 organizations: Community Medical Associates (Elizabethtown, KY) and Norton Children's Medical Group, LLC (Louisville, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stephanie Kelty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephanie Kelty accept?

Health plans from CareSource list Stephanie Kelty as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stephanie Kelty was last updated on October 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.