Kelly Mike, NP - Medicare Nurse Practitioner in Louisville, KY

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Kelly Mike, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Louisville, Kentucky. She went to Vanderbilt University School Of Medicine and graduated in 2013 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Taylor Regional Medical Group, Llc and her current practice location is 1731 Dixie Hwy, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (502) 444-6016.

Kelly Mike is licensed to practice in Kentucky (license number APN3008550) 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 1073939468.

Contact Information

Kelly Mike, NP
1731 Dixie Hwy,
Louisville, KY 40210-2313
(502) 444-6016
Not Available

Map and Direction




Provider's Profile

Full NameKelly Mike
GenderFemale
SpecialityNurse Practitioner
Experience13 Years
Location1731 Dixie Hwy, Louisville, 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:
  • Kelly Mike attended and graduated from Vanderbilt University School Of Medicine in 2013
  NPI Data:
  • NPI Number: 1073939468
  • Provider Enumeration Date: 03/10/2014
  • Last Update Date: 08/07/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9638301419
  • Enrollment ID: I20140409001229

Medical Identifiers

Medical identifiers for Kelly Mike such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073939468NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LG0600XNurse Practitioner - Gerontology 3008550 (Kentucky)Secondary
363LA2200XNurse Practitioner - Adult Health APN3008550 (Kentucky)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Norton Hospitals, IncLouisville, KYHospital
Jewish Hospital & St Mary's HealthcareLouisville, KYHospital
Baptist Health LouisvilleLouisville, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Taylor Regional Medical Group, Llc488061662263

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. Kelly Mike allows following entities to bill medicare on her behalf.
Entity NameHepatitis C Treatment Centers Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760667299
PECOS PAC ID: 9133114507
Enrollment ID: O20040415000986
Entity NameTaylor Regional Medical Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174697601
PECOS PAC ID: 4880616622
Enrollment ID: O20051221000527
Entity NameShc Medical Partners Of Kentucky, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417132614
PECOS PAC ID: 1153406301
Enrollment ID: O20080312000024
Entity NameFaith Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053964965
PECOS PAC ID: 0840529335
Enrollment ID: O20190909002402
Entity NameCommonhealth Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902425515
PECOS PAC ID: 2163833476
Enrollment ID: O20201117002651
Entity NameOak Street Health Physicians Group Of Kentucky, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467031997
PECOS PAC ID: 5991105330
Enrollment ID: O20210607002390

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. Kelly Mike 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
Kelly Mike, NP
Po Box 740017,
Atlanta, GA 30374-0017

Ph: (312) 733-0373		Kelly Mike, NP
1731 Dixie Hwy,
Louisville, KY 40210-2313

Ph: (502) 444-6016

Reviews and Comments


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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.