Individual provider Active NPI

Denise L. Buskill, APRN

  • Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1043240807
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3004109 Issued in KY
Practice address
9702 Stonestreet Rd Ste 220
Louisville, KY 40272-6814
Phone
(502) 995-5051
Fax
(502) 996-8309
NPI assigned
Jul 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71001265A IN
Nurse Practitioner 363L00000X 3004109 KY Primary

Addresses

Primary practice location

9702 Stonestreet Rd Ste 220
Louisville, KY 40272-6814

Mailing address

PO Box 950244
Louisville, KY 40295-0244
Phone (502) 953-4799

Other identifiers 9

IdentifierTypeStateIssuer
000000600669OtherKYANTHEM
2730634000OtherPASSPORT ADVANTAGE
50010929OtherPASSPORT
P00216180OtherRAILROAD MEDICARE
3691817000OtherKYPASSPORT ADVANTAGE
200359530MedicaidIN
311192100OtherKYBLACK LUNG
50021517OtherKYPASSPORT
78013356MedicaidKY

Other names 1

  • Denise L. Hack Former name

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
I20040429000771 KY Practitioner - Nurse Practitioner 3375530447 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71001265AINMDNurse Practitioner
3004109KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Centers, Inc. Current Accepting new patients
Family Health Centers, Inc. CurrentSince Feb 20, 2019 Accepting new patients
Family Health Centers, Inc. CurrentSince Feb 20, 2019 Accepting new patients
Family Health Centers, Inc. Current Accepting new patients
Family Health Centers, Inc. Current Accepting new patients
Family Health Centers, Inc. Current Accepting new patients
Southeastern Emergency Services P C Nurse Practitioner CurrentSince Apr 1, 2011 Accepting new patients
Elderserve, Inc. Past Accepting new patients
Family Health Center of Clark County, Inc. Past Accepting new patients

Locations

1000 Neighborhood Pl
Fairdale, KY 40118
Phone (502) 361-2381

150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773

712 E Muhammad Ali Blvd
Louisville, KY 40202
Phone (502) 568-6972

9702 Stonestreet Rd
Ste 220
Louisville, KY 40272
Phone (502) 995-5051

4100 Taylor Blvd
Louisville, KY 40215
Phone (502) 361-2381

834 E Broadway
Louisville, KY 40204
Phone (502) 583-1981

4615 Taylor Blvd
Louisville, KY 40215
Phone (502) 366-4747

2215 Portland Ave
Louisville, KY 40212
Phone (502) 774-8631

Organizations & group practices 9

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1043240807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950244",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402950244",
            "telephone_number": "502-953-4799",
            "fax_number": "502-953-4798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9702 STONESTREET RD STE 220",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402726814",
            "telephone_number": "502-995-5051",
            "fax_number": "502-996-8309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSKILL",
        "first_name": "DENISE",
        "middle_name": "L.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71001265A",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3004109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000600669",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE",
            "identifier": "2730634000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "50010929",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00216180",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE",
            "identifier": "3691817000",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200359530",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "311192100",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "50021517",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78013356",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENISE",
            "last_name": "HACK",
            "middle_name": "L.",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.