SANDRA TRACEY KELLEY NP
NPI 1699813212
Nurse Practitioner - Family in Lexington, KY

Active since February 03, 2007PECOS Enrolled
100/100
CMS Quality Rating
845 ANGLIANA AVE, LEXINGTON, KY 40508(859) 323-9321 Get Directions Write a Review

NPPES record last updated: June 28, 2019. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Sandra Tracey Kelley Np NPPES

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

SANDRA TRACEY KELLEY NP (NPI 1699813212) is an individual family provider in Lexington, Kentucky, licensed in Kentucky (3003542) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Georgetown, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1699813212
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSANDRA TRACEY KELLEYCredential: NP
Location Address845 ANGLIANA AVELexington, KY 40508-3146
Mailing Address801 Forest Lake DrLexington, KY 40515-6299 · (859) 273-3774
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateFebruary 3, 2007
Last NPPES UpdateJune 28, 2019
✔ NPI 1699813212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 3003542
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 1264 (KY)
Also ListedInternal Medicine · Addiction MedicineTaxonomy 207RA0401X · License 3003542 (KY)
845 ANGLIANA AVE, Lexington, KY 40508

Secondary Practice Location 1

Location 13107 Cincinnati RdGeorgetown, KY 40324-9505 · Phone (502) 570-9313 ext. 4209 · Fax (502) 867-7978

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sandra Tracey Kelley Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830441849
PECOS Enrollment IDI20181002002564
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Sandra Kelley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical
740 S LIMESTONE, STE E214
Lexington, KY 40536
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,761 clinicians in this Medicare group
3.1 mi
Professional
1301 WINCHESTER RD STE 147
Lexington, KY 40505
  • Reassigned Medicare billing, Kentucky enrollment
  • 7 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40508 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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner (Family)
845 ANGLIANA AVE
LEXINGTON, KY 40508
Psychiatry & Neurology (Psychiatry)
845 ANGLIANA AVE
LEXINGTON, KY 40508
Psychiatry & Neurology (Psychiatry)
845 ANGLIANA AVE
LEXINGTON, KY 40508
Social Worker (Clinical)
845 ANGLIANA AVE
LEXINGTON, KY 40508
Social Worker (Clinical)
845 ANGLIANA AVE
LEXINGTON, KY 40508

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 Sandra Kelley's NPI number?

The NPI number for Sandra Kelley is 1699813212. It was assigned to this individual provider in the NPPES registry on February 3, 2007.

Where is Sandra Kelley located?

Sandra Kelley practices at 845 Angliana Ave, Lexington, KY 40508. The listed phone number is (859) 323-9321.

What is Sandra Kelley's specialty?

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

Is Sandra Kelley enrolled in Medicare?

Yes. Sandra Kelley is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sandra Kelley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Kelley reassigns Medicare benefits to 2 organizations: University Of Kentucky (Lexington, KY) and Ljks (Lexington, KY). 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 Sandra Kelley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sandra Kelley accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Sandra Kelley 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 Sandra Kelley was last updated on June 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.