Individual provider Active NPI

Bertha M Blevins

  • Family Nurse Practitioner
  • Corbin, KY
National Provider Identifier
1023998226
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4038846 Issued in KY
Practice address
299 Clear View Dr
Corbin, KY 40701-7997
Phone
(606) 261-1428
NPI assigned
Sep 8, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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 4038846 KY Primary

Addresses

Primary practice location

299 Clear View Dr
Corbin, KY 40701-7997

Mailing address

299 Clear View Dr
Corbin, KY 40701-7997
Phone (606) 261-1428

Other practice location 1

2157 S Highway 27
Stearns, KY 42647-6297
Phone (606) 376-9700

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
I20251126001528 KY Practitioner - Nurse Practitioner 2062904063 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hope Primary and Urgent Care PLLCGroup PAC ID 3678818580, 11 clinicians
Hope Primary and Urgent Care of Williamsburg PLLCGroup PAC ID 9739574468, 9 clinicians

Practice addresses (Care Compare)

2157 S Hwy 27
Stearns, KY 42647-6297
Phone (606) 376-9700

896 S Hwy 25 W
Williamsburg, KY 40769-1691
Phone (606) 376-9700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4038846KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Primary & Urgent Care PLLC CurrentSince Oct 31, 2025 Accepting new patients
Hope Primary & Urgent Care of Williamsburg PLLC CurrentSince Oct 31, 2025 Accepting new patients

Locations

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

896 S Highway 25 W
Williamsburg, KY 40769
Phone (606) 376-9700

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CEEJCD/Endpoint/CEEJCD

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.

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": "1757289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1023998226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 CLEAR VIEW DR",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407017997",
            "telephone_number": "606-261-1428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 CLEAR VIEW DR",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407017997",
            "telephone_number": "606-261-1428"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2157 S Highway 27",
            "address_purpose": "LOCATION",
            "city": "Stearns",
            "state": "KY",
            "postal_code": "426476297",
            "country_code": "US",
            "telephone_number": "606-376-9700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLEVINS",
        "first_name": "BERTHA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-08",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4038846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corbin, KY

Sources for this page

Verify at the official NPI Registry.