Carla Sue Story, APRN
Individual provider Active NPI Family Nurse Practitioner · Maysville, KY
NPI 1033686555 · NPPES record last updated Feb 23, 2022
Key facts
- NPI
- 1033686555
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 3012840 (KY)
- Practice address
- 2003 Old Main Street
Maysville, KY 41056 - Phone
- (606) 759-7878
- Fax
- (606) 313-5390
- NPI assigned
- Nov 2, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
- Main Street Primary Care and Aesthetics PLLC
SNF Wound Care
Practice addresses (Care Compare)
2003 Old Main St
Maysville, KY 41056-8928
Phone (606) 759-7878
5269 Asbury Rd
Augusta, KY 41002-9215
Phone (833) 379-6863
Hospital & facility affiliations
- Hospice of Hope Inc
- Meadowview Regional Medical Center
- St Elizabeth Edgewood
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190717001993 | KY | Practitioner - Nurse Practitioner | 4486989126 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3012840 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Street Primary Care & Aesthetics, PLLC | Family | Current |
Accepting new patients |
| SNF Wound Care | Current |
Accepting new patients | |
| Gim of Kentucky PLLC | Family | Current |
Accepting new patients |
Locations
5269 Asbury Rd
Augusta, KY 41002
Phone (606) 756-2156
708 Bartley Ave
Bardstown, KY 40004
Phone (502) 348-9260
2003 Old Main St
Maysville, KY 41056
Phone (606) 759-7878
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3012840 | KY | Yes |
Addresses
Primary practice location
2003 Old Main Street
Maysville, KY 41056
Mailing address
2003 Old Main Street
Maysville, KY 41056
Phone (606) 759-7878
Other providers in Maysville, KY
- St. Elizabeth Physicians Maysville Diagnostic Center, LLC
- Linda Stahl
- Laura L Stamper
- Courtney Stanton-Shaw
- Travis James Stevens
- Dustin Stovall
- Straub Clinic
- Sharon Sweet
- Erica Swisher
- Talk It Up Exclamation Point Communication Therapy Services LLC
All providers in Maysville, KY · Family Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.