MS. KELLY SHROUT RANDOLPH APRN
NPI 1396098364
Nurse Practitioner - Family in Lexington, KY
About Ms. Kelly Shrout Randolph Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KELLY SHROUT RANDOLPH APRN (NPI 1396098364) is an individual family provider in Lexington, Kentucky, licensed in Kentucky (3007554) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Kelly Shrout Randolph Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 40502 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LEXINGTON, KY 40502
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 Randolph's NPI number?
The NPI number for Kelly Randolph is 1396098364. It was assigned to this individual provider in the NPPES registry on October 16, 2012.
Where is Kelly Randolph located?
Kelly Randolph practices at 1101 Veterans Dr, Lexington, KY 40502. The listed phone number is (859) 233-4511.
What is Kelly Randolph's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kelly Randolph enrolled in Medicare?
Yes. Kelly Randolph is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kelly Randolph was last updated on November 12, 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.
# Ms. Kelly Shrout Randolph, APRN · NPI 1396098364
Family physician in Lexington, Kentucky. Individual provider, active in the CMS NPPES registry since October 16, 2012.
## Identity
- **NPI:** 1396098364 (Entity type: Individual)
- **Enumerated:** October 16, 2012
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 3007554 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 1101 VETERANS DR, Lexington, KY 40502-2235
- **Phone:** (859) 233-4511
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** November 12, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1396098364) · Data from the CMS NPPES public registry.