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KELLY MIKE NP
NPI 1073939468
Nurse Practitioner - Adult Health in Louisville, KY

Active since March 10, 2014PECOS EnrolledAccepts Medicare Assignment
1731 DIXIE HWY, LOUISVILLE, KY 40210(502) 444-6016 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 7, 2024, Apr 1, 2024 (2 updates tracked since 2024).

About Kelly Mike Np NPPES

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

KELLY MIKE NP (NPI 1073939468) is an individual adult health provider in Louisville, Kentucky, licensed in Kentucky (APN3008550) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Hardin, and maintains a secondary practice location in Louisville.

NPPES Registry Identity

NPI1073939468
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameKELLY MIKECredential: NP
Location Address1731 DIXIE HWYLouisville, KY 40210-2313
Mailing AddressPo Box 740017Atlanta, GA 30374-0017 · (312) 733-0373
Phone(502) 444-6016
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 2013
Enumeration DateMarch 10, 2014
Last NPPES UpdateAugust 7, 20242 updates tracked since enumeration
NPPES CertifiedAugust 7, 2024
✔ NPI 1073939468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in KY · APN3008550
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 3008550 (KY)
1731 DIXIE HWY, Louisville, KY 40210
Open in Google Maps ↗

Secondary Practice Location 1

Location 112201 Bluegrass PkwyLouisville, KY 40299-2361 · Phone (502) 568-7366 · Fax (502) 568-7114

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

Kelly Mike Np 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 ID9638301419
PECOS Enrollment IDI20140409001229
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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
20 services12 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
16 services16 patients

Hospital Affiliations CMS Care Compare 5

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

Baptist Health Hardin

Acute Care Hospitals · Elizabethtown, KY
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number180012
Location913 North Dixie AvenueElizabethtown, KY 42701 · Hardin County
Emergency services

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

Taylor Regional Hospital

Acute Care Hospitals · Campbellsville, KY
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number180087
Location1700 Old Lebanon RoadCampbellsville, KY 42718 · Taylor County
Emergency services

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Baptist Health Louisville

Acute Care Hospitals · Louisville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180130
Location4000 Kresge WayLouisville, KY 40207 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40210 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 2

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

NOVA PHYSICIAN GROUP PLLC
Clinic/Center (Primary Care)
1731 DIXIE HWY
LOUISVILLE, KY 40210
Jefferson County (502) 444-6016
TRACI RENEE WELKER APRN
Nurse Practitioner (Family)
1731 DIXIE HWY
LOUISVILLE, KY 40210
Jefferson County (502) 444-6016

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 Mike's NPI number?

The NPI number for Kelly Mike is 1073939468. It was assigned to this individual provider in the NPPES registry on March 10, 2014.

Where is Kelly Mike located?

Kelly Mike practices at 1731 Dixie Hwy, Louisville, KY 40210. The listed phone number is (502) 444-6016.

What is Kelly Mike's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Kelly Mike enrolled in Medicare?

Yes. Kelly Mike 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.

Is Kelly Mike affiliated with any hospitals?

According to CMS data, Kelly Mike is affiliated with Baptist Health Hardin, Jewish Hospital & St Mary's Healthcare, Taylor Regional Hospital, Norton Hospitals, Inc and Baptist Health Louisville.

When was this NPI record last updated?

The NPPES record for Kelly Mike was last updated on August 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.