1. Home
  2. Directory
  3. Kentucky
  4. Paintsville
  5. Nurse Practitioner
  6. NPI Profile

KELLY MCGUIRE APRN
NPI 1154081370
Nurse Practitioner - Family in Paintsville, KY

Active since December 29, 2021PECOS EnrolledAccepts Medicare Assignment
97.4/100
CMS Quality Rating
826 S MAYO TRL, PAINTSVILLE, KY 41240(606) 789-8749(606) 789-2060 Get Directions Write a Review

NPPES record last updated: December 29, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelly Mcguire Aprn NPPES

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

KELLY MCGUIRE APRN (NPI 1154081370) is an individual family provider in Paintsville, Kentucky, licensed in Kentucky (3016970) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS, is affiliated with Paul B Hall Regional Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1154081370
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY MCGUIRECredential: APRN
Location Address826 S MAYO TRLPaintsville, KY 41240-1384
Mailing Address826 S Mayo TrlPaintsville, KY 41240-1384 · (606) 789-8749
Phone(606) 789-8749
Fax(606) 789-2060
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 29, 2021
NPPES CertifiedDecember 29, 2021
✔ NPI 1154081370 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 · 3016970
826 S MAYO TRL, Paintsville, KY 41240
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 from Home State Health, Ambetter Health and more.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

Kelly Mcguire Aprn 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 ID5890189104
PECOS Enrollment IDI20220303000333
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 5

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.
152 services30 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
136 services31 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.
132 services80 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
19 services14 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
13 services11 patients

Hospital Affiliations CMS Care Compare

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

Paul B Hall Regional Medical Center

Acute Care Hospitals · Paintsville, KY
1/5 CMS rating
OwnershipProprietary
CMS Certification Number180078
Location625 James S Trimble BoulevardPaintsville, KY 41240 · Johnson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41240 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.

97.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.55
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

ARH TUG VALLEY HEALTH SERVICES, INC.
Clinic/Center (Multi-Specialty)
826 S MAYO TRL
PAINTSVILLE, KY 41240
Johnson County (606) 789-8749

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 Mcguire's NPI number?

The NPI number for Kelly Mcguire is 1154081370. It was assigned to this individual provider in the NPPES registry on December 29, 2021.

Where is Kelly Mcguire located?

Kelly Mcguire practices at 826 S Mayo Trl, Paintsville, KY 41240. The listed phone number is (606) 789-8749.

What is Kelly Mcguire's specialty?

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

Is Kelly Mcguire enrolled in Medicare?

Yes. Kelly Mcguire 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 Mcguire accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Kelly Mcguire 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 Mcguire affiliated with any hospitals?

According to CMS data, Kelly Mcguire is affiliated with Paul B Hall Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Kelly Mcguire was last updated on December 29, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.