Individual provider Active NPI

Dustin Ford, FNP

  • Family Nurse Practitioner
  • Newton, NC
National Provider Identifier
1013488253
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3012697 Issued in KY
Practice address
3975 Robinson Rd
Newton, NC 28658-9715
Phone
(828) 466-0466
Fax
(828) 466-8862
NPI assigned
Dec 16, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3012697 KY
Family Nurse Practitioner 363LF0000X 3012697 KY Primary

Addresses

Primary practice location

3975 Robinson Rd
Newton, NC 28658-9715

Mailing address

6200 Dutchmans LN
Louisville, KY 40205-3271
Phone (502) 719-4127

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220127001793 KY Practitioner - Nurse Practitioner 3274871272 Reassigns benefits to 1 organization
I20220519000531 IN Practitioner - Nurse Practitioner 3274871272 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Care Guide Partners IncGroup PAC ID 7719266402, shared by 2 NPIs, 32 clinicians

Practice addresses (Care Compare)

502 Hausfeldt LN
New Albany, IN 47150-2221
Phone (812) 945-4596

6200 Dutchmans LN
Louisville, KY 40205-3271
Phone (502) 456-6200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3012697KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Care Guide Partners Inc Family CurrentSince Oct 12, 2021 Accepting new patients
Hosparus Inc. CurrentSince Feb 17, 2022 Accepting new patients
Care Guide Partners Inc CurrentSince Oct 12, 2021 Accepting new patients

Locations

502 Hausfeldt Ln
New Albany, IN 47150
Phone (502) 456-6200

6200 Dutchmans Ln
Ste 200
Louisville, KY 40205
Phone (502) 456-6200

6200 Dutchmans Ln
Louisville, KY 40205
Phone (502) 456-6200

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1013488253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 DUTCHMANS LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053271",
            "telephone_number": "502-719-4127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3975 ROBINSON RD",
            "city": "NEWTON",
            "state": "NC",
            "postal_code": "286589715",
            "telephone_number": "828-466-0466",
            "fax_number": "828-466-8862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "DUSTIN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-16",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3012697",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3012697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, NC

Sources for this page

Verify at the official NPI Registry.