KELSEY DOWNTON APRN
NPI 1962048694
Nurse Practitioner in Crestview Hills, KY
About Kelsey Downton Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELSEY DOWNTON APRN (NPI 1962048694) is an individual nurse practitioner in Crestview Hills, Kentucky, licensed in Kentucky (3014243) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of University Of Cincinnati College Of Medicine (2019).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 5
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kelsey Downton Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Kelsey Downton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Louisville, KY 40207
- Reassigned Medicare billing, Kentucky enrollment
- 193 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.
Areas of Expertise CMS Part B claims 6
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 41017 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CRESTVIEW HILLS, KY 41017
CRESTVIEW HILLS, KY 41017
CRESTVIEW HILLS, KY 41017
CRESTVIEW HILLS, KY 41017
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 Kelsey Downton's NPI number?
The NPI number for Kelsey Downton is 1962048694. It was assigned to this individual provider in the NPPES registry on November 18, 2019.
Where is Kelsey Downton located?
Kelsey Downton practices at 320 Thomas More Pkwy Ste 202, Crestview Hills, KY 41017. The listed phone number is (859) 331-0432.
What is Kelsey Downton's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Kelsey Downton enrolled in Medicare?
Yes. Kelsey Downton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kelsey Downton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Downton reassigns Medicare benefits to Commonwealth Pain Associates, PLLC (Louisville, KY). The 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 Kelsey Downton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelsey Downton accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Kelsey Downton 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 Kelsey Downton was last updated on September 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 49 days 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.
# Kelsey Downton, APRN · NPI 1962048694
Nurse Practitioner physician in Crestview Hills, Kentucky. Individual provider, active in the CMS NPPES registry since November 18, 2019.
## Identity
- **NPI:** 1962048694 (Entity type: Individual)
- **Enumerated:** November 18, 2019
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 3014243 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 320 THOMAS MORE PKWY STE 202, Crestview Hills, KY 41017-3456
- **Phone:** (859) 331-0432 · **Fax:** (859) 331-0956
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Commonwealth Pain Associates, PLLC (NPI 1306280177, Louisville, KY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Cincinnati College Of Medicine, class of 2019
## Record status
- **NPPES last updated:** September 11, 2026
- **Other identifiers:** Medicaid 300059895 (IN); Medicaid 7100652020 (KY); Medicaid 0380807 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1962048694) · Data from the CMS NPPES public registry.