Trace Kelly, FNP-C, DC
NPI 1629296603 · Family Nurse Practitioner · Louisville, KY
Enrolled with Medicare as Practitioner - Chiropractic · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Trace Kelly, FNP-C, DC is a Family Nurse Practitioner provider in Louisville, KY (NPI 1629296603).
Provider details
- NPI number
- 1629296603
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-C, DC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 4973 (KY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Chiropractic Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-04-23
- Last updated
- 2021-07-07
- Certified
- 2021-07-07
Frequently asked questions
- What is Trace Kelly's NPI number?
- Trace Kelly's National Provider Identifier (NPI) is 1629296603, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Trace Kelly's specialty?
- Trace Kelly is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Trace Kelly located?
- Trace Kelly's practice location on file with NPPES is 4613 Roxann Blvd Ste 101, Louisville, KY 40218-4072.
- What is Trace Kelly's phone number?
- The practice phone number listed in the NPPES registry for Trace Kelly is (502) 415-3943.
- Does Trace Kelly accept Medicare?
- Trace Kelly is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Trace Kelly's NPI active?
- Yes — Trace Kelly's NPI (1629296603) is active in the NPPES registry as of the last update on 2021-07-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.