Individual provider Active NPI

Casey Meyer, APRN

  • Family Nurse Practitioner
  • Bedford, KY
National Provider Identifier
1023477205
Registry record updated Feb 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3010121 Issued in KY
Practice address
18 Alexander Ave Unit 1
Bedford, KY 40006-1114
Phone
(502) 593-0083
Fax
(502) 255-0600
NPI assigned
Feb 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2017

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 3010121 KY Primary

Addresses

Primary practice location

18 Alexander Ave Unit 1
Bedford, KY 40006-1114

Mailing address

18 Alexander Ave Unit 1
Bedford, KY 40006-1114
Phone (502) 593-0083

Other identifiers 1

IdentifierTypeStateIssuer
7100410450MedicaidKY

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
I20160810000787 KY Practitioner - Nurse Practitioner 7517262959 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nhome Family CurrentSince Aug 1, 2024 Accepting new patients
Lexington Podiatry PSC CurrentSince Apr 28, 2024 Accepting new patients

Locations

2700 Old Rosebud Rd
Ste 250
Lexington, KY 40509
Phone (859) 264-1141

1169 Eastern Pkwy
Ste 1128
Louisville, KY 40217
Phone (502) 498-4977

Organizations & group practices 2

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": "1455667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487980800000",
    "number": "1023477205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 ALEXANDER AVE UNIT 1",
            "city": "BEDFORD",
            "state": "KY",
            "postal_code": "400061114",
            "telephone_number": "502-593-0083",
            "fax_number": "502-255-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 ALEXANDER AVE UNIT 1",
            "city": "BEDFORD",
            "state": "KY",
            "postal_code": "400061114",
            "telephone_number": "502-593-0083",
            "fax_number": "502-255-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "CASEY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-17",
        "last_updated": "2017-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3010121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100410450",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, KY

Sources for this page

Verify at the official NPI Registry.