KELLIE WOODRUFF APRN - NPI 1013988351 - Nurse Practitioner in Louisville, KY

Q: What is Kellie Woodruff's NPI number?

The NPI number for Kellie Woodruff is 1013988351. It was assigned to this individual provider in the NPPES registry on January 26, 2006.

Q: What is Kellie Woodruff'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 Kellie Woodruff was last updated on October 11, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Kellie Woodruff Aprn NPPES

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

KELLIE WOODRUFF APRN (NPI 1013988351) is an individual pediatrics provider in Louisville, Kentucky, licensed in Kentucky (3003826) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Louisville.

NPPES Registry Identity

NPI1013988351

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameKELLIE WOODRUFFCredential: APRN

Location Address411 E CHESTNUT ST # STREET7Louisville, KY 40202-1713

Mailing AddressPo Box 776879Chicago, IL 60677-6879 · (502) 588-9490 · Fax (502) 272-5116

Phone(502) 588-3400

Fax(502) 588-3401

Sole ProprietorNo

Enumeration DateJanuary 26, 2006

Last NPPES UpdateOctober 11, 20203 updates tracked since enumeration

NPPES CertifiedOctober 11, 2020

✔ NPI 1013988351 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 · 3003826

411 E CHESTNUT ST # STREET7, Louisville, KY 40202

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Secondary Practice Location 1

Location 1601 S Floyd St, Ste 403Louisville, KY 40202-1837 · Phone (502) 588-3400 · Fax (502) 588-3401

Other Identifiers 2

Medicaid200889660IN

Medicaid7801454500KY

Accepted Insurance

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

Kellie Woodruff 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 40202 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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 9

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

KUPPER ANTHONY WINTERGERST M.D.

Pediatrics (Pediatric Endocrinology)