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KELSEY DANIELLE PEHLKE
NPI 1013637420
Nurse Practitioner - Family in Shepherdsville, KY

Active since August 29, 2022PECOS EnrolledAccepts Medicare Assignment
73.19/100
CMS Quality Rating
1707 CEDAR GROVE RD STE 10, SHEPHERDSVILLE, KY 40165(502) 543-3246 Get Directions Write a Review

NPPES record last updated: February 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 7, 2023, Aug 29, 2022 (2 updates tracked since 2022).

About Kelsey Danielle Pehlke NPPES

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

KELSEY DANIELLE PEHLKE (NPI 1013637420) is an individual family provider in Shepherdsville, Kentucky, licensed in Kentucky (3017840) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, is affiliated with Jewish Hospital & St Mary's Healthcare, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1013637420
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELSEY DANIELLE PEHLKE
Location Address1707 CEDAR GROVE RD STE 10Shepherdsville, KY 40165-8572
Mailing AddressPo Box 909Louisville, KY 40201-0909
Phone(502) 543-3246
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 29, 2022
Last NPPES UpdateFebruary 7, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2023
✔ NPI 1013637420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 3017840
1707 CEDAR GROVE RD STE 10, Shepherdsville, KY 40165
Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelsey Danielle Pehlke is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799160768
PECOS Enrollment IDI20220913000646
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 Kelsey Pehlke reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Louisville Phyisicians, Inc.
15 mi
Interventional Pain Medicine
5129 DIXIE HWY
Louisville, KY 40216
  • Reassigned Medicare billing, Kentucky enrollment
  • Medicare enrollment name: University Of Louisville Physicians Inc
  • 2,337 clinicians in this Medicare group
NPI 1265127567 (502) 588-6000
Kiosk Medicine Kentucky LLC
17 mi
Family
3039 BRECKENRIDGE LN
Louisville, KY 40220
  • Reassigned Medicare billing, Kentucky enrollment
  • 488 clinicians in this Medicare group
NPI 1205885035 (502) 451-4555

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

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
150 services16 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
96 services86 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
50 services49 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
32 services30 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
30 services27 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
23 services22 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jewish Hospital & St Mary's Healthcare

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180040
Location200 Abraham Flexner WayLouisville, KY 40202 · Jefferson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40165 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.74
Promoting Interoperability100
Improvement Activities40
Cost51.91

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 Kelsey Pehlke's NPI number?

The NPI number for Kelsey Pehlke is 1013637420. It was assigned to this individual provider in the NPPES registry on August 29, 2022.

Where is Kelsey Pehlke located?

Kelsey Pehlke practices at 1707 Cedar Grove Rd Ste 10, Shepherdsville, KY 40165. The listed phone number is (502) 543-3246.

What is Kelsey Pehlke's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kelsey Pehlke enrolled in Medicare?

Yes. Kelsey Pehlke is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kelsey Pehlke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Pehlke reassigns Medicare benefits to 2 organizations: University Of Louisville Phyisicians, Inc. (Louisville, KY) and Kiosk Medicine Kentucky 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 Kelsey Pehlke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelsey Pehlke accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Kelsey Pehlke 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.

Is Kelsey Pehlke affiliated with any hospitals?

According to CMS data, Kelsey Pehlke is affiliated with Jewish Hospital & St Mary's Healthcare.

When was this NPI record last updated?

The NPPES record for Kelsey Pehlke was last updated on February 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.