Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelli Ann Craig

Individual provider Family Nurse Practitioner · NPI 1588297477

Kelli Ann Craig is a Nurse Practitioner in Louisville, Kentucky. Qualified in 2019, 7 years ago. Practices with Community Medical Associates Inc, a 1,365-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
7
Licensed in
KY
In the registry since
2020
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Practice location Address checks out

315 E Broadway Ste 103
Louisville, KY 40202-3700
Phone: (502) 629-5469
Fax: (502) 692-9546
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 3014331 (KY)

Record details

NPI number1588297477
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 19, 2020
Last updated in NPPESAugust 26, 2024
Certification dateAugust 26, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Community Medical Associates Inc — 1365 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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