MERCY FAMILY MEDICINE AND WELLNESS CENTER LLC
NPI 1518613579
Nurse Practitioner in Elizabethtown, KY

Q: What is Mercy Family Medicine And Wellness Center LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since February 28, 2022

217 S MULBERRY ST, ELIZABETHTOWN, KY 42701(270) 304-8184(502) 265-4318 Get Directions Write a Review

NPPES record last updated: December 28, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 2, 2022, Apr 22, 2022, Feb 28, 2022 (3 updates tracked since 2022).

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About Mercy Family Medicine And Wellness Center Llc NPPES

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

MERCY FAMILY MEDICINE AND WELLNESS CENTER LLC (NPI 1518613579) is a healthcare organization registered as a nurse practitioner in Elizabethtown, Kentucky and active in the NPI registry since February 2022. The organization lists Shelley Roby, Owner/aprn, as its authorized official.

NPPES Registry Identity

NPI1518613579

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameMERCY FAMILY MEDICINE AND WELLNESS CENTER LLC

Location Address217 S MULBERRY STElizabethtown, KY 42701-1430

Mailing Address553 Tabb RdCecilia, KY 42724-9776 · (270) 304-8184

Phone(270) 304-8184

Fax(502) 265-4318

Organization SubpartNo

Authorized OfficialShelley RobyOwner/aprn · (270) 304-8184

Enumeration DateFebruary 28, 2022

Last NPPES UpdateDecember 28, 20233 updates tracked since enumeration

NPPES CertifiedDecember 28, 2023

✔ NPI 1518613579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

217 S MULBERRY ST, Elizabethtown, KY 42701

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Other Identifiers 1

Medicaid7100816430KY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mercy Family Medicine And Wellness Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mercy Family Medicine And Wellness Center LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Shelley Roby, ARNP

Nurse Practitioner

NPI 1851418693

217 S MULBERRY ST
Elizabethtown, KY 42701

(270) 304-8184

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mercy Family Medicine And Wellness Center LLC's NPI number?

The NPI number for Mercy Family Medicine And Wellness Center LLC is 1518613579. It was assigned to this organization in the NPPES registry on February 28, 2022.

Where is Mercy Family Medicine And Wellness Center LLC located?

Mercy Family Medicine And Wellness Center LLC is located at 217 S Mulberry St, Elizabethtown, KY 42701. The listed phone number is (270) 304-8184.

What is Mercy Family Medicine And Wellness Center LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Mercy Family Medicine And Wellness Center LLC enrolled in Medicare?

Yes. Mercy Family Medicine And Wellness Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mercy Family Medicine And Wellness Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Mercy Family Medicine And Wellness Center 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mercy Family Medicine And Wellness Center LLC was last updated on December 28, 2023. 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.