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ADVANCED BEHAVIORAL WELLNESS LLC
NPI 1841049855
Psychiatry & Neurology - Psychiatry in Paducah, KY

Active since May 14, 2024
5050I VILLAGE SQUARE DR, PADUCAH, KY 42001(270) 898-4044(270) 898-4045 Get Directions Write a Review

NPPES record last updated: August 22, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 22, 2026, Nov 12, 2024, May 14, 2024 (3 updates tracked since 2024).

About Advanced Behavioral Wellness Llc NPPES

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

ADVANCED BEHAVIORAL WELLNESS LLC (NPI 1841049855) is a healthcare organization registered as a psychiatry in Paducah, Kentucky and active in the NPI registry since May 2024. The organization lists Samuel Kelley Md, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1841049855
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameADVANCED BEHAVIORAL WELLNESS LLC
Location Address5050I VILLAGE SQUARE DRPaducah, KY 42001-9499
Mailing Address5050i Village Square DrPaducah, KY 42001-9499 · (270) 898-4044 · Fax (270) 898-4045
Phone(270) 898-4044
Fax(270) 898-4045
Organization SubpartNo
Authorized OfficialSamuel Kelley MdOwner/ceo · (617) 877-8292
Enumeration DateMay 14, 2024
Last NPPES UpdateAugust 22, 20263 updates tracked since enumeration
NPPES CertifiedAugust 22, 2026
✔ NPI 1841049855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
5050I VILLAGE SQUARE DR, Paducah, KY 42001
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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)

Advanced Behavioral Wellness Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Advanced Behavioral Wellness LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Samuel Kelley, M.D.
Psychiatry
NPI 1154368199
5050I VILLAGE SQUARE DR
Paducah, KY 42001
(270) 898-4044
✔ PECOS✔ Accepts MedicareSame address
Michelle Blankenship, PMHNP-BC
Nurse Practitioner
NPI 1609663160
2416 NEW HOLT RD
Paducah, KY 42001
(270) 331-2345
✔ PECOS0.4 mi

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 Advanced Behavioral Wellness LLC's NPI number?

The NPI number for Advanced Behavioral Wellness LLC is 1841049855. It was assigned to this organization in the NPPES registry on May 14, 2024.

Where is Advanced Behavioral Wellness LLC located?

Advanced Behavioral Wellness LLC is located at 5050I Village Square Dr, Paducah, KY 42001. The listed phone number is (270) 898-4044.

What is Advanced Behavioral Wellness LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Advanced Behavioral Wellness LLC enrolled in Medicare?

Yes. Advanced Behavioral Wellness LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Behavioral Wellness LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Advanced Behavioral Wellness LLC, in Nurse Practitioner and Psychiatry. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Advanced Behavioral Wellness LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Advanced Behavioral Wellness 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 Advanced Behavioral Wellness LLC was last updated on August 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.