Individual provider Active NPI

Kimberly Michelle Gilstrap, FNP

  • Family Nurse Practitioner
  • Owensboro, KY
National Provider Identifier
1023640489
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3014131 Issued in KY
Practice address
3500 Frederica St
Owensboro, KY 42301-6901
Phone
(270) 684-0023
NPI assigned
Feb 4, 2020
Last updated
Feb 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

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 3014131 KY Primary

Addresses

Primary practice location

3500 Frederica St
Owensboro, KY 42301-6901

Mailing address

989 Hillcrest Dr
Beaver Dam, KY 42320-1748
Phone (270) 363-0978

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
I20200310002194 KY Practitioner - Nurse Practitioner 9537597380 Reassigns benefits to 4 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
Ohio County Hospital CorporationGroup PAC ID 3577477264, 84 clinicians

Practice addresses (Care Compare)

1211 Main St
Hartford, KY 42347-1619
Phone (270) 298-7411

1211 Old Main St
Hartford, KY 42347-1619
Phone (270) 298-3806

1215 Old Main St
Hartford, KY 42347-1619
Phone (270) 730-5344

20 E McMurtry Ave
Hartford, KY 42347-1647
Phone (270) 504-1300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3014131KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ak Healthcare Management Inc Family CurrentSince Jan 14, 2020 Accepting new patients
Ack Healthcare Management, LLC CurrentSince Jan 14, 2020 Accepting new patients
Ack Healthcare Management LLC CurrentSince Jan 14, 2020 Accepting new patients
Ohio County Hospital Corporation Current Accepting new patients
Ohio County Hospital Corporation CurrentSince Apr 1, 2024 Accepting new patients
Fast Pace Kentucky PLLC Family CurrentSince Dec 15, 2020 Accepting new patients
Fast Pace Kentucky, PLLC CurrentSince Dec 15, 2020 Accepting new patients
Ohio County Hospital Corporation Current Accepting new patients
Ohio County Hospital Corporation CurrentSince Apr 1, 2024 Accepting new patients
Fast Pace Kentucky, PLLC Past Accepting new patients
Ohio County Hospital Corporation Past Accepting new patients

Locations (25 of 27)

1095 Morton Ave
Bardstown, KY 40004
Phone (502) 601-0107

1313 N Main St
Beaver Dam, KY 42320
Phone (270) 274-9928

1430 N Main St
Beaver Dam, KY 42320
Phone (270) 775-4483

401 Main St
Benton, KY 42025
Phone (270) 906-0369

796 W Broadway St
Campbellsville, KY 42718
Phone (270) 572-4933

110 S 2nd St
Central City, KY 42330
Phone (270) 931-2059

44 W Main St
Fordsville, KY 42343
Phone (270) 276-3150

1475 Nashville Rd
Franklin, KY 42134
Phone (270) 813-1111

83 Ballpark Rd
Hardinsburg, KY 40143
Phone (270) 580-4778

1211 Old Main St
Hartford, KY 42347
Phone (270) 298-3806

20 E McMurtry Ave
Hartford, KY 42347
Phone (270) 504-1300

1000 W Park Dr
Lawrenceburg, KY 40342
Phone (502) 353-3417

757 W Main St
Lebanon, KY 40033
Phone (270) 972-4186

333 S Main St
Leitchfield, KY 42754
Phone (270) 200-4983

1520 4th St
Lewisport, KY 42351
Phone (270) 295-3890

919 N Main St
Madisonville, KY 42431
Phone (270) 228-0592

1251 Paris Rd
Mayfield, KY 42066
Phone (270) 356-1345

420 Martin Luther King Hwy
Maysville, KY 41056
Phone (606) 375-4817

895 N Main St
Monticello, KY 42633
Phone (606) 396-3006

1116 S Main St
Ste 5A
Morgantown, KY 42261
Phone (270) 274-9221

145 Brookeway Dr
Mt Washington, KY 40047
Phone (502) 538-2430

506 N 12th St
Ste A
Murray, KY 42071
Phone (270) 415-7055

3600 Frederica St
Ste Ab
Owensboro, KY 42301
Phone (270) 684-0023

3600 Frederica St
Ste B
Owensboro, KY 42301
Phone (270) 684-0023

1023 W Main St
Princeton, KY 42445
Phone (270) 254-5840

Organizations & group practices 11

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

Hospital & facility affiliations 2

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": "1580774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1023640489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "989 HILLCREST DR",
            "city": "BEAVER DAM",
            "state": "KY",
            "postal_code": "423201748",
            "telephone_number": "270-363-0978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 FREDERICA ST",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423016901",
            "telephone_number": "270-684-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILSTRAP",
        "first_name": "KIMBERLY",
        "middle_name": "MICHELLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-04",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3014131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.