Individual provider Active NPI

Stephanie Marie Sumner, APRN, FNP-C

  • Family Nurse Practitioner
  • London, KY
National Provider Identifier
1013550060
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3013971 Issued in KY
Practice address
100 London Mountain View Dr FL 1
London, KY 40741-6668
Phone
(859) 275-5229
Fax
(859) 977-2683
NPI assigned
Oct 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3013971 KY Primary

Addresses

Primary practice location

100 London Mountain View Dr FL 1
London, KY 40741-6668

Mailing address

PO Box 21890
Belfast, ME 04915-4115
Phone (502) 907-0356

Other identifiers 1

IdentifierTypeStateIssuer
7100635060MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address stephanie.sumner.1@16521.direct.athenahealth.com

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
I20200102000331 KY Practitioner - Nurse Practitioner 6608200522 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Industrial Wellness Services of Kentucky PLLCGroup PAC ID 3577781582, 8 clinicians

Practice addresses (Care Compare)

55 Cal Hill Spur
Pine Knot, KY 42635-9194
Phone (606) 376-9355

Merit-based Incentive Payment System (MIPS)

Final score
89.99 of 100Reported as group
Quality
81.97
Promoting interoperability
97
Improvement activities
40
Cost
77.29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3013971KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Industrial Wellness Services of Kentucky, PLLC CurrentSince Oct 28, 2023 Accepting new patients
Commonwealth Pain Associates, PLLC Family CurrentSince Apr 1, 2022 Accepting new patients
Hope Primary & Urgent Care PLLC CurrentSince Oct 5, 2019 Accepting new patients
Commonwealth Pain Associates PLLC CurrentSince Apr 1, 2022 Accepting new patients

Locations

100 London Mountain View Dr
Fl 1
London, KY 40741
Phone (859) 275-5229

55 Cal Hill Spur
Pine Knot, KY 42635
Phone (606) 376-9355

120 Executive Park
St Matthews, KY 40207
Phone (502) 409-9925

2157 S Highway 27
Stearns, KY 42647
Phone (606) 376-9700

Interoperability endpoints

  • Direct secure messaging: stephanie.sumner.1@16521.direct.athenahealth.com

Organizations & group practices 4

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": "1571702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1013550060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21890",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154115",
            "telephone_number": "502-907-0356",
            "fax_number": "502-919-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LONDON MOUNTAIN VIEW DR FL 1",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407416668",
            "telephone_number": "859-275-5229",
            "fax_number": "859-977-2683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMNER",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-22",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3013971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100635060",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stephanie.sumner.1@16521.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "100 London Mountain View Dr Fl 1",
            "city": "London",
            "state": "KY",
            "country_code": "US",
            "postal_code": "407416668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in London, KY

Sources for this page

Verify at the official NPI Registry.