DR. KELLY N PRINGLE MD
NPI 1902892094
Pediatrics in Louisville, KY

Active since September 23, 2005PECOS Enrolled
100 MALLARD CREEK RD STE 395, LOUISVILLE, KY 40207(502) 895-9421(502) 899-5762 Get Directions Write a Review

NPPES record last updated: May 20, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 20, 2022, Oct 27, 2020, Apr 24, 2020 and 1 more (4 updates tracked since 2018).

About Dr. Kelly N Pringle Md NPPES

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

DR. KELLY N PRINGLE MD (NPI 1902892094) is an individual pediatrics provider in Louisville, Kentucky, licensed in Kentucky (35844) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS and maintains a secondary practice location in Clarksville.

NPPES Registry Identity

NPI1902892094
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. KELLY N PRINGLECredential: MD
Location Address100 MALLARD CREEK RD STE 395Louisville, KY 40207-5167
Mailing AddressPo Box 776879Chicago, IL 60677-6879 · (502) 588-9490 · Fax (502) 212-5116
Fax(502) 899-5762
Sole ProprietorNo
Enumeration DateSeptember 23, 2005
Last NPPES UpdateMay 20, 20224 updates tracked since enumeration
NPPES CertifiedMay 20, 2022
✔ NPI 1902892094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in KY · 35844
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
100 MALLARD CREEK RD STE 395, Louisville, KY 40207

Secondary Practice Location 1

Location 12051 Clevidence Blvd Ste 1Clarksville, IN 47129-2278 · Phone (812) 280-9145 · Fax (812) 280-6627

Other Identifiers 4

Other090052IN · Siho - Cma
Medicaid200878520IN
Other50015980IN · Passport - Cma
Other000000533403IN · Anthem - Cma

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)

Dr. Kelly N Pringle Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Kelly Pringle reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sports Medicine
1951 BISHOP LN FL 4
Louisville, KY 40218
  • Reassigned Medicare billing, Indiana and Kentucky enrollments
  • 465 clinicians in this Medicare group
Clinical Genetics (M.D.)
4803 OLYMPIA PARK PLZ STE 1100
Louisville, KY 40241
  • Reassigned Medicare billing, Kentucky enrollment
  • Medicare enrollment name: Norton Childrens Medical Group LLC
  • 1,008 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 40207 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.

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.

Pediatrics
100 MALLARD CREEK RD STE 395
LOUISVILLE, KY 40207
Pediatrics
100 MALLARD CREEK RD STE 395
LOUISVILLE, KY 40207
Pediatrics
100 MALLARD CREEK RD STE 395
LOUISVILLE, KY 40207
Pediatrics
100 MALLARD CREEK RD STE 395
LOUISVILLE, KY 40207
Pediatrics
100 MALLARD CREEK RD STE 395
LOUISVILLE, KY 40207

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 Pringle's NPI number?

The NPI number for Kelly Pringle is 1902892094. It was assigned to this individual provider in the NPPES registry on September 23, 2005.

Where is Kelly Pringle located?

Kelly Pringle practices at 100 Mallard Creek Rd Ste 395, Louisville, KY 40207. The listed phone number is (502) 895-9421.

What is Kelly Pringle's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kelly Pringle enrolled in Medicare?

Yes. Kelly Pringle is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kelly Pringle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Pringle reassigns Medicare benefits to 2 organizations: Community Medical Associates, Inc. (Louisville, KY) and Norton Children's Medical Group, LLC (Louisville, 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 Kelly Pringle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Pringle accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter of Tennessee and CareSource list Kelly Pringle 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 Kelly Pringle was last updated on May 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.