Individual provider Active NPI

Tessie Hepworth, APRN, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1003492778
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
3015888 Issued in KY
Practice address
3430 Newburg Rd Ste 150
Louisville, KY 40218-2497
Phone
(502) 459-9127
NPI assigned
Mar 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 3015888 KY Primary

Addresses

Primary practice location

3430 Newburg Rd Ste 150
Louisville, KY 40218-2497

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490

Other names 1

  • Ms. Tessie Jo Embry Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210430002015 KY Practitioner - Nurse Practitioner 7113336231 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

913 N Dixie Ave
Elizabethtown, KY 42701-2503
Phone (270) 706-5275

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates of Kentuckiana PSC CurrentSince Sep 28, 2021 Accepting new patients
Community Medical Associates, Inc. CurrentSince Jun 1, 2021 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Oct 1, 2021 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Oct 1, 2021 Accepting new patients
Community Medical Associates, Inc. CurrentSince Jun 1, 2021 Accepting new patients
Community Medical Associates, Inc. Acute Care Current Accepting new patients

Locations

4359 New Shepherdsville Rd
Unit 205
Bardstown, KY 40004
Phone (502) 350-1302

107 Medical Park Dr
Campbellsville, KY 42718
Phone (270) 469-0923

2407 Ring Rd
Ste 114
Elizabethtown, KY 42701
Phone (270) 706-5787

914 N Dixie Ave
Ste 303
Elizabethtown, KY 42701
Phone (270) 900-0871

913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212

608 Chamberlin Ave
Frankfort, KY 40601
Phone (502) 607-0731

3 Audubon Plaza Dr
Ste 330
Louisville, KY 40217
Phone (502) 583-1697

1 Audubon Plaza Dr
Louisville, KY 40217
Phone (502) 634-6767

3430 Newburg Rd
Ste 150
Louisville, KY 40218
Phone (502) 459-9127

6400 Dutchmans Pkwy
Ste 250
Louisville, KY 40205
Phone 5025879660239

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

170 Dr Arla Way
Ste 101
Louisville, KY 40229
Phone (502) 888-1988

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

115 Huston Dr
Ste 1
Shepherdsville, KY 40165
Phone (502) 955-7311

1553 Highway 44 E
Shepherdsvlle, KY 40165
Phone (502) 955-7311

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1003492778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-588-9490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 NEWBURG RD STE 150",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402182497",
            "telephone_number": "502-459-9127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEPWORTH",
        "first_name": "TESSIE",
        "name_prefix": "Mrs.",
        "credential": "APRN, AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "KY",
            "license": "3015888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TESSIE",
            "last_name": "EMBRY",
            "middle_name": "JO",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.