✓ Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family (363LF0000X) ✓ HHS OIG Screened Clear 🩺 Entity Type 1 (Individual)

CAROLYN ELIZABETH KALLMEYER, APRN (NPI #1265734370)

Nurse Practitioner, Family • FT MITCHELL, KY • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1265734370
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363LF0000X (CMS 50)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family
Box 32 Service Location & ZIP+4
2150 DIXIE HWY, FT MITCHELL, KY, 41017-2902
✓ 9-Digit EDI 837 ZIP+4 (41017-2902)
Practice Phone & Referral Fax
Fax: (859) 292-1785
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1265734370 (CAROLYN ELIZABETH KALLMEYER, APRN) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1265734370 (NPI-1 Individual Practitioner)
Provider / Legal NameCAROLYN ELIZABETH KALLMEYER, APRN
Plain-English SpecialtyLicensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family
NUCC Code: 363LF0000X (Nurse Practitioner, Family)
Certifying / Licensing BodyState Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address2150 DIXIE HWY, FT MITCHELL, KY, 41017-2902
Practice Telephone / FaxTel: (859) 292-1784 | Fax: (859) 292-1785
Administrative Mailing Address2620 ELM HILL PIKE, NASHVILLE, TN, 37214-3108
Enumeration & Last SyncEnumerated: 2010-11-22 | CMS Record Updated: 2015-06-17

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

2150 DIXIE HWY, FT MITCHELL, KY, 41017-2902

🗺️ Open in Google Maps 🏥 More Providers in FT MITCHELL

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Plain-English Taxonomy & CMS Crosswalk (363LF0000X)

What Does Taxonomy Code 363LF0000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LF0000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 50 (Nurse Practitioner)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Nurse Practitioner, Family for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (CAROLYN ELIZABETH KALLMEYER, APRN)

Typical CPT / Diagnostic Procedures:
  • Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
  • Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
  • Preventive Screening, Patient Counseling & Multidisciplinary Referral
Common Therapeutic Classes:
  • Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
363LF0000X — Nurse Practitioner, Family
Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family
State: KY | License: 3004450 | Primary: Yes (Primary)
364SF0001X — Clinical Nurse Specialist, Family Health
Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Family Health
State: KY | License: 3004450 | Primary: Secondary
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