Mrs Kellie Marie Lisby, APRN - Medicare Nurse Practitioner in Shelbyville, KY

Mrs Kellie Marie Lisby, APRN is a medicare enrolled "Nurse Practitioner - Family" in Shelbyville, Kentucky. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Kiosk Medicine Kentucky Llc and her current practice location is 311 Boone Station Rd, Shelbyville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (502) 437-8000.

Mrs Kellie Marie Lisby is licensed to practice in Kentucky (license number 3009992) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1578929204.

Contact Information

Mrs Kellie Marie Lisby, APRN
311 Boone Station Rd,
Shelbyville, KY 40065-8673
(502) 437-8000
Not Available

Map and Direction




Provider's Profile

Full NameMrs Kellie Marie Lisby
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location311 Boone Station Rd, Shelbyville, Kentucky
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Kellie Marie Lisby graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1578929204
  • Provider Enumeration Date: 01/11/2016
  • Last Update Date: 01/11/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 8628371721
  • Enrollment ID: I20160125000245

Medical Identifiers

Medical identifiers for Mrs Kellie Marie Lisby such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578929204NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 3009992 (Kentucky)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kiosk Medicine Kentucky Llc6002887510160

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Kellie Marie Lisby allows following entities to bill medicare on her behalf.
Entity NameKiosk Medicine Kentucky Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205885035
PECOS PAC ID: 6002887510
Enrollment ID: O20040805001127
Entity NameBrock Medical, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023379815
PECOS PAC ID: 9830354638
Enrollment ID: O20120628000567

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kellie Marie Lisby is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Kellie Marie Lisby, APRN
2620 Elm Hill Pike,
Nashville, TN 37214-3108

Ph: (615) 425-4200
Mrs Kellie Marie Lisby, APRN
311 Boone Station Rd,
Shelbyville, KY 40065-8673

Ph: (502) 437-8000

Reviews and Comments


Nurse Practitioner Nurses in Shelbyville, KY

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Phone: 502-437-8000    Fax: 502-437-8001
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Katherine Washburn, APRN
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Medicare: Accepting Medicare Assignments
Practice Location: 311 Boone Station Rd Lot, Shelbyville, KY 40065
Phone: 502-437-8000    Fax: 502-437-8001
Aimee Lynn Mccaa, APRN
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Medicare: Accepting Medicare Assignments
Practice Location: 131 Stonecrest Rd Ste 100, Shelbyville, KY 40065
Phone: 502-633-7093    Fax: 502-633-7094

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.