MRS. KELLY GOSHORN A.P.R.N.
NPI 1053779413
Nurse Practitioner - Family in Louisville, KY

Active since February 01, 2016PECOS EnrolledAccepts Medicare Assignment
73.19/100
CMS Quality Rating
200 ABRAHAM FLEXNER WAY, LOUISVILLE, KY 40202(502) 852-5689(502) 587-4840 Get Directions Write a Review

NPPES record last updated: December 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 8, 2020, Feb 1, 2016 (2 updates tracked since 2016).

About Mrs. Kelly Goshorn A.p.r.n. NPPES

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

MRS. KELLY GOSHORN A.P.R.N. (NPI 1053779413) is an individual family provider in Louisville, Kentucky, licensed in Kentucky (3010043) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1053779413
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KELLY GOSHORNCredential: A.P.R.N.
Location Address200 ABRAHAM FLEXNER WAYLouisville, KY 40202-2877
Mailing AddressPo Box 909Louisville, KY 40201-0909
Fax(502) 587-4840
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateFebruary 1, 2016
Last NPPES UpdateDecember 8, 20202 updates tracked since enumeration
NPPES CertifiedDecember 8, 2020
NPI 1053779413 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 · 3010043
200 ABRAHAM FLEXNER WAY, Louisville, KY 40202

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Kelly Goshorn A.p.r.n. 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 ID2365748563
PECOS Enrollment IDI20160315001341
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.

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

Other Providers at the Same Location NPPES 20

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

Pharmacist
200 ABRAHAM FLEXNER WAY, ADMINISTRATION
LOUISVILLE, KY 40202
Internal Medicine
200 ABRAHAM FLEXNER WAY
LOUISVILLE, KY 40202
Radiology (Diagnostic Radiology)
200 ABRAHAM FLEXNER WAY
LOUISVILLE, KY 40202
Nurse Practitioner
200 ABRAHAM FLEXNER WAY
LOUISVILLE, KY 40202
Internal Medicine (Nephrology)
200 ABRAHAM FLEXNER WAY
LOUISVILLE, KY 40202
Pharmacy (Community/Retail Pharmacy)
200 ABRAHAM FLEXNER WAY
LOUISVILLE, KY 40202
Emergency Medicine
200 ABRAHAM FLEXNER WAY
LOUISVILLE, KY 40202
Nurse Anesthetist, Certified Registered
200 ABRAHAM FLEXNER WAY
LOUISVILLE, KY 40202

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 Kelly Goshorn's NPI number?

The NPI number for Kelly Goshorn is 1053779413. It was assigned to this individual provider in the NPPES registry on February 1, 2016.

Where is Kelly Goshorn located?

Kelly Goshorn practices at 200 Abraham Flexner Way, Louisville, KY 40202. The listed phone number is (502) 852-5689.

What is Kelly Goshorn's specialty?

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

Is Kelly Goshorn enrolled in Medicare?

Yes. Kelly Goshorn 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.

What insurance does Kelly Goshorn accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Kelly Goshorn 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 Kelly Goshorn was last updated on December 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.