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JENNIFER KELLY
NPI 1962804880
Nurse Practitioner - Adult Health in Louisville, KY

Active since September 23, 2014PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
3841 RUCKRIEGEL PKWY, LOUISVILLE, KY 40299(502) 791-8700(502) 742-8523 Get Directions Write a Review

NPPES record last updated: October 23, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 23, 2020, Mar 13, 2020, Jun 14, 2016 (3 updates tracked since 2016).

About Jennifer Kelly NPPES

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

JENNIFER KELLY (NPI 1962804880) is an individual adult health provider in Louisville, Kentucky, licensed in Kentucky (3008785) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS, is affiliated with Norton Hospitals, Inc, and is a graduate of University Of Louisville School Of Medicine (2014).

NPPES Registry Identity

NPI1962804880
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameJENNIFER KELLY
Location Address3841 RUCKRIEGEL PKWYLouisville, KY 40299-3986
Mailing Address600 Cross Pointe Rd, Suite AGahanna, OH 43230-6696 · (513) 725-2186 · Fax (614) 577-1427
Phone(502) 791-8700
Fax(502) 742-8523
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2014
Enumeration DateSeptember 23, 2014
Last NPPES UpdateOctober 23, 20203 updates tracked since enumeration
NPPES CertifiedOctober 23, 2020
✔ NPI 1962804880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in KY · 3008785
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 3008785 (KY)
3841 RUCKRIEGEL PKWY, Louisville, KY 40299
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Other Identifiers 1

Medicaid7100365330KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jennifer Kelly 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.

PECOS PAC ID5395052112
PECOS Enrollment IDI20150910002877
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.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
409 services214 patients
Testing for presence of drug, read by direct observation 80305
Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.
74 services74 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
22 services21 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40299 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

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 Jennifer Kelly's NPI number?

The NPI number for Jennifer Kelly is 1962804880. It was assigned to this individual provider in the NPPES registry on September 23, 2014.

Where is Jennifer Kelly located?

Jennifer Kelly practices at 3841 Ruckriegel Pkwy, Louisville, KY 40299. The listed phone number is (502) 791-8700.

What is Jennifer Kelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Jennifer Kelly enrolled in Medicare?

Yes. Jennifer Kelly 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.

What insurance does Jennifer Kelly accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Jennifer Kelly 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.

Is Jennifer Kelly affiliated with any hospitals?

According to CMS data, Jennifer Kelly is affiliated with Norton Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Jennifer Kelly was last updated on October 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.