KELLY MIKE NP
NPI 1073939468
Nurse Practitioner - Adult Health in Louisville, KY
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
Specialties & Licenses 2
Secondary Practice Location 1
Accepted 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
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.
Medicare Billing Reassignments
8Medicare enrollment records show Kelly Mike reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Louisville, KY 40219
- Reassigned Medicare billing, Kentucky enrollment
- 24 clinicians in this Medicare group
Louisville, KY 40207
- Reassigned Medicare billing, Kentucky enrollment
- 5 clinicians in this Medicare group
Louisville, KY 40220
- Reassigned Medicare billing, Kentucky enrollment
- 107 clinicians in this Medicare group
Louisville, KY 40299
- Reassigned Medicare billing, Kentucky enrollment
- Medicare enrollment name: Vitae Health Medical Kentucky, LLC
- 68 clinicians in this Medicare group
Mount Washington, KY 40047
- Reassigned Medicare billing, Kentucky enrollment
- 8 clinicians in this Medicare group
Frankfort, KY 40601
- Reassigned Medicare billing, Kentucky enrollment
- 8 clinicians in this Medicare group
Campbellsville, KY 42718
- Reassigned Medicare billing, Kentucky enrollment
- 67 clinicians in this Medicare group
Science Hill, KY 42553
- Reassigned Medicare billing, Kentucky enrollment
- 40 clinicians in this Medicare group
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 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.
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, KYJewish Hospital & St Mary's Healthcare
Acute Care Hospitals · Louisville, KYTaylor Regional Hospital
Acute Care Hospitals · Campbellsville, KYNorton Hospitals, Inc
Acute Care Hospitals · Louisville, KYBaptist Health Louisville
Acute Care Hospitals · Louisville, KYPhysician 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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organizations bill Medicare for Kelly Mike's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Mike reassigns Medicare benefits to 8 organizations: Oak Street Health Physicians Group Of Kentucky, PLLC (Louisville, KY), Hepatitis C Treatment Centers Inc (Louisville, KY), Shc Medical Partners Of Kentucky, LLC (Louisville, KY), Telos Health Systems Ky LLC (Louisville, KY), 1 Care Partners Ky LLC (Mount Washington, KY) and 3 more organizations, listed in the Medicare section above. 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 Kelly Mike's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Mike accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Kelly Mike 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 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 2 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.
# Kelly Mike, NP · NPI 1073939468
Adult Health physician in Louisville, Kentucky. Individual provider, active in the CMS NPPES registry since March 10, 2014.
## Identity
- **NPI:** 1073939468 (Entity type: Individual)
- **Enumerated:** March 10, 2014
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** APN3008550 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 1731 DIXIE HWY, Louisville, KY 40210-2313
- **Phone:** (502) 444-6016
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Oak Street Health Physicians Group Of Kentucky, PLLC (NPI 1467031997, Louisville, KY); Hepatitis C Treatment Centers Inc (NPI 1760667299, Louisville, KY); Shc Medical Partners Of Kentucky, LLC (NPI 1417132614, Louisville, KY); Telos Health Systems Ky LLC (NPI 1629600879, Louisville, KY); 1 Care Partners Ky LLC (NPI 1790659662, Mount Washington, KY); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Vanderbilt University School Of Medicine, class of 2013
## Record status
- **NPPES last updated:** August 7, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1073939468) · Data from the CMS NPPES public registry.