MRS. LYDIA KELLY CNM
NPI 1013076199
Advanced Practice Midwife in Nashville, TN

NPI Status: Active since December 06, 2006

Contact Information

3601 THE VANDERBILT CLINIC
NASHVILLE, TN
ZIP 37232
Phone: (615) 322-3000

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Secondary Locations
Medicare Participation & PECOS Status
Physician Visit Costs
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Advanced Practice Midwife
Accepts Insurance
PECOS Enrolled

About LYDIA KELLY

This page provides the complete NPI Profile along with additional information for Lydia Kelly, a provider established in Nashville, Tennessee with a medical specialization in Advanced Practice Midwife. The healthcare provider is registered in the NPI registry with number 1013076199 assigned on December 2006. The practitioner's primary taxonomy code is 367A00000X with license number APN21584 (TN). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI: 1013076199
Provider Name: MRS. LYDIA KELLY CNM
Gender: Female
Entity Type: Individual
Location Address: 3601 THE VANDERBILT CLINIC NASHVILLE, TN 37232
Location Phone: (615) 322-3000
Mailing Address: 3841 GREEN HILLS VILLAGE DR STE 200 NASHVILLE, TN 37215
Is Sole Proprietor?: No
Enumeration Date: 12-06-2006
Last Update Date: 03-23-2022
Code Navigator

Location Map

Secondary Locations

719 Thompson Ln
Nashville, TN 37204
(615) 936-2000
1440 Cedar Ln
Tullahoma, TN 37388
(615) 322-3000

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Advanced Practice Midwife
Taxonomy Code: 367A00000X
Type: Physician Assistants & Advanced Practice Nursing Providers
License No.: APN21584
License State: TN
Taxonomy Description: Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Alliant Health Plans, Inc.

SoloCare Bronze EPO HDHP 8050 10004 - EPO
SoloCare Exp Bronze EPO 7200 - $0 Generic Rx 10015 - EPO
SoloCare Gold EPO 2300 - 3 Free PCP Visits, $5 Generic Rx 10010 - EPO
SoloCare Silver EPO 6000/60 - 3 Free PCP Visits 10014 - EPO
SoloCare Silver EPO 7000 - 3 Free PCP Visits, $5 Generic Rx 10013 - EPO
SoloCare Standard Exp Bronze EPO 10008 - EPO
SoloCare Standard Gold EPO 10006 - EPO
SoloCare Standard Platinum EPO 10005 - EPO
SoloCare Standard Silver EPO 10007 - EPO

BlueCross BlueShield of Tennessee

BlueCross B07S HSA - EPO
BlueCross B15S $0 virtual care from Teladoc Health � - EPO
BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � - EPO
BlueCross B17S $0 virtual care from Teladoc Health � + Adult Dental - EPO
BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � - EPO
BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
BlueCross S25S $55 PCP Copay + $0 virtual care from Teladoc Health � - EPO
BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � - EPO
BlueCross S27S $60 PCP Copay + $0 virtual care from Teladoc Health � - EPO
BlueCross S29S $60 PCP Copay + $0 virtual care from Teladoc Health � + Adult Dental - EPO

Cigna Healthcare

Connect Bronze 3500 Indiv Med Deductible Enhanced Diabetes Care - EPO
Connect Bronze 7500 Indiv Med Deductible - EPO
Connect Bronze 8500 Indiv Med Deductible - EPO
Connect Bronze CMS Standard - EPO
Connect Gold CMS Standard - EPO
Connect Silver 2500 Indiv Med Deductible Enhanced Diabetes Care - EPO
Connect Silver 2875 Indiv Med Deductible - EPO
Connect Silver 3825 Indiv Med Deductible - EPO
Connect Silver CMS Standard - EPO

Oscar Insurance Company

Bronze Classic 4700 - EPO
Bronze Classic Standard - EPO
Bronze Elite + PCP Saver Plus - EPO
Gold Classic - EPO
Gold Classic Standard - EPO
Gold Elite - EPO
Secure - EPO
Silver Classic - EPO
Silver Classic Standard - EPO
Silver Simple Breathe Easy with Enhanced COPD Benefits - EPO
Silver Simple Diabetes - EPO
Silver Simple PCP Saver - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Lydia Kelly is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 37232 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

Average New Patient Price $81.53
Minimum New Patient Price $52.64
Maximum New Patient Price $160.89

Average New Patient Copayment $20.38
Minimum New Patient Copayment $13.16
Maximum New Patient Copayment $40.22

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

Average Established Patient Price $66.01
Minimum Established Patient Price $16.72
Maximum Established Patient Price $131.41

Average Established Patient Copayment $16.5
Minimum Established Patient Copayment $4.18
Maximum Established Patient Copayment $32.85

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	0	1	3	0	7	6	1	9	9
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	0	2	3	0	7	12	1	18
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 7 + 1 + 2 + 1 + 1 + 8 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 9									9

The NPI number 1013076199 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 20 providers are registered at the same or nearby location.

DR. ANDY M NORMAN MD

Obstetrics & Gynecology

3601 THE VANDERBILT CLINIC
NASHVILLE, TN
ZIP 37232

About LYDIA KELLY

Location Map

Secondary Locations

Specialty - Primary Taxonomy

Advanced Practice Midwife

Insurance Plans Accepted

Medicare Participation & PECOS Enrollment Status

Is the provider registered in PECOS? Yes

Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

Eligible to Order or Refer a Home Health Agency (HHA): No

Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs

New Patients Visit Costs *

Established Patients Visit Costs *

Reviews for MRS. LYDIA KELLY CNM

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions