KIOSK MEDICINE KENTUCKY LLC
NPI 1205885035
Nurse Practitioner - Family in Louisville, KY
About Kiosk Medicine Kentucky Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIOSK MEDICINE KENTUCKY LLC (NPI 1205885035) is a healthcare organization registered as a family in Louisville, Kentucky and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through July 21, 2027 and lists Thomas Shelly, Vp & General Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kiosk Medicine Kentucky Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
485Medicare enrollment records show 485 clinicians reassign Medicare billing to Kiosk Medicine Kentucky LLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 130 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 2
Nearest to this location (20)
See all 485Louisville, KY 40207
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 18D1015023
Kiosk Medicine Kentucky, LLC · Louisville, KYFrequently 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 Kiosk Medicine Kentucky LLC's NPI number?
The NPI number for Kiosk Medicine Kentucky LLC is 1205885035. It was assigned to this organization in the NPPES registry on May 9, 2006.
Where is Kiosk Medicine Kentucky LLC located?
Kiosk Medicine Kentucky LLC is located at 3039 Breckenridge Ln, Louisville, KY 40220. The listed phone number is (502) 451-4555.
What is Kiosk Medicine Kentucky LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kiosk Medicine Kentucky LLC enrolled in Medicare?
Yes. Kiosk Medicine Kentucky LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kiosk Medicine Kentucky LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 485 clinicians in 2 Medicare specialties reassign their Medicare billing to Kiosk Medicine Kentucky LLC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (484) and Family Practice (1). Of these, 5 practice at this address and 130 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Kiosk Medicine Kentucky LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 18D1015023) is associated with this NPI, valid through July 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Kiosk Medicine Kentucky LLC accept?
Health plans from Anthem Blue Cross and Blue Shield, MedMutual and UnitedHealthcare list Kiosk Medicine Kentucky LLC 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 Kiosk Medicine Kentucky LLC was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Kiosk Medicine Kentucky Llc · NPI 1205885035
Family organization in Louisville, Kentucky. Organization record, active in the CMS NPPES registry since May 9, 2006.
## Identity
- **NPI:** 1205885035 (Entity type: Organization)
- **Enumerated:** May 9, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Thomas Shelly, VP & GENERAL MANAGER
## Practice location
- **Address:** 3039 BRECKENRIDGE LN, Louisville, KY 40220-2101
- **Phone:** (502) 451-4555 · **Fax:** (502) 451-0884
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 485 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (484), Family Practice (1); 5 practice at this address and 130 within 10 miles; [full list](https://npiprofile.com/npi/1205885035/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 21, 2025
- **Other identifiers:** Medicaid 7100276100 (KY)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1205885035) · Data from the CMS NPPES public registry.