CORTNEE JANAE KELLY (ACNP) – Adult Health Nurse Practitioner, NPI 1457612442

CORTNEE JANAE KELLY (ACNP) is a healthcare provider. based in Paducah, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials ACNP. They hold a License No. 4045629 (KY). The NPI Number for CORTNEE JANAE KELLY (ACNP) is 1457612442

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
CORTNEE JANAE KELLY (ACNP)
NPI
1457612442
Phone
(270) 442-0103
Address
1532 Lone Oak Rd Ste 415
Enumeration Date
6 June 2012
Last Update Date
9 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3307476446
Graduation Year
2021 (5 years ago)
PAC ID
9335398460
Group Practice PAC ID
3476950296
Professional Enrollment ID
I20121005000232
Address ID
OH445041003YO1001XAVEX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience79
Completeness85
Years active:14State licenses:4Digital endpointsOther names

7,343 NURSE PRACTITIONER in KY

Provider Addresses for CORTNEE JANAE KELLY (ACNP)

  • 1532 Lone Oak Rd Ste 415

    Paducah, KY 420037943

    Phone: (270) 442-0103

    Type: Location

  • 103 MCKNIGHT DR

    SUITE A

    MIDDLETOWN, OH 450444890

    Phone: (513) 217-6400

    Fax: (513) 217-6037

    Type: Mailing

  • 1001 BELMONT AVE

    YOUNGSTOWN, OH 445041003

    Phone: (330) 747-6446

    Fax: (330) 747-6843

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $748.

Total Amount is formed as General ($748) + Research ($0) + Ownership ($0) = $748.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($302).

Total Amount

$748

General + Research + Ownership

Payments

26

Total payment records

General Amount

$748

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-02-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-10-31 (950 days ago).

Enrollment records

3

Earliest due date

2023-10-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20121005000232INurse PractitionerOH2023-10-31
I20251210002834INurse PractitionerKYTBD
I20260205000268INurse PractitionerVATBD

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
93793Anticoagulant management of patient taking warfarin15739$0
99214Established patient office or other outpatient visit, 30-39 minutes8160$0
85610Blood test, clotting time5432$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 42003)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476950296View full group profile
NameSpecialtyState
Nurse PractitionerOH
Cardiovascular Disease (Cardiology)OH
Nurse PractitionerOH
Nurse PractitionerOH
O B S T E T R I C S/ G Y N E C O L O G YOH
Family PracticeIA
Nurse PractitionerPA
Radiation OncologyPA
H O S P I T A L I S TOH
N E U R O L O G YOH

Reviews

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Frequently asked questions

How do payers reference CORTNEE JANAE KELLY (ACNP)?
For CORTNEE JANAE KELLY (ACNP), use NPI 1457612442 as the unique 10-digit identifier.
Active or inactive — what applies to CORTNEE JANAE KELLY (ACNP)?
You should see CORTNEE JANAE KELLY (ACNP) as active in CMS-hosted NPPES data.
How would a patient describe CORTNEE JANAE KELLY (ACNP)'s focus?
For CORTNEE JANAE KELLY (ACNP), the primary taxonomy reads as Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is CORTNEE JANAE KELLY (ACNP) located near Paducah?
CORTNEE JANAE KELLY (ACNP) currently maps to Paducah, Kentucky in this extract.
Does CORTNEE JANAE KELLY (ACNP) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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