Individual provider Active NPI

Allen Darrell Probus Jr., FNP-C

  • Family Nurse Practitioner
  • Williamsburg, KY
National Provider Identifier
1043974710
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3016881 Issued in KY
Practice address
896 S Highway 25W
Williamsburg, KY 40769
Phone
(606) 376-9700
NPI assigned
Oct 28, 2021
Last updated
Mar 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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 3016881 KY Primary

Addresses

Primary practice location

896 S Highway 25W
Williamsburg, KY 40769

Mailing address

460 Forest Ave
Williamsburg, KY 40769-2042
Phone (352) 650-5487

Other practice location 1

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

Other practice location 2

460 Forest Ave
Williamsburg, KY 40769-2042
Phone (352) 650-5487

Other practice location 3

1700 Old Lebanon Rd
Campbellsville, KY 42718-9615
Phone (270) 789-6082

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
I20220125002953 KY Practitioner - Nurse Practitioner 7618369620 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prowers County Hospital DistrictGroup PAC ID 4486568508, shared by 3 NPIs, 18 clinicians

Practice addresses (Care Compare)

403 Kendall Dr
Lamar, CO 81052-3953
Phone (719) 336-6767

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Taylor Regional Medical Group LLC Family CurrentSince Apr 22, 2024 Accepting new patients
Hope Primary & Urgent Care PLLC CurrentSince Jan 24, 2022 Accepting new patients
Taylor Regional Medical Group,LLC Current Accepting new patients
Concord Medical Group of Kentucky PLLC Family CurrentSince Dec 19, 2023 Accepting new patients
South Central Physicians PLLC Family CurrentSince Apr 15, 2024 Accepting new patients
Taylor Regional Medical Group Family CurrentSince Apr 22, 2024 Accepting new patients
Concord Company of Tennessee PLLC CurrentSince May 7, 2024 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jan 1, 2022 Accepting new patients
Hope Primary & Urgent Care of Williamsburg PLLC CurrentSince May 1, 2022 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jan 1, 2022 Accepting new patients

Locations

1698 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

1700 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

96 Future Dr
Corbin, KY 40701

910 Wallace Ave
Leitchfield, KY 42754
Phone (270) 259-3035

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

210 Marie Langdon Dr
Manchester, KY 40962
Phone (865) 985-7047

4604 US Highway 60 W
Morganfield, KY 42437
Phone (270) 389-5000

610 E Brannon Rd
Nicholasville, KY 40356
Phone (859) 260-5540

648 University Shopping Ctr
Richmond, KY 40475
Phone (859) 623-1950

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

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

1602 Avenue Q
Lubbock, TX 79401
Phone (650) 766-0887

Interoperability endpoints

  • Direct secure messaging: allendarrell.probus.p1@direct.cdsdp.nextgenshare.com

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 3

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": "1635379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1043974710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 FOREST AVE",
            "city": "WILLIAMSBURG",
            "state": "KY",
            "postal_code": "407692042",
            "telephone_number": "352-650-5487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "896 S HIGHWAY 25W",
            "city": "WILLIAMSBURG",
            "state": "KY",
            "postal_code": "40769",
            "telephone_number": "606-376-9700"
        }
    ],
    "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"
        },
        {
            "address_1": "460 Forest Ave",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "KY",
            "postal_code": "407692042",
            "country_code": "US",
            "telephone_number": "352-650-5487",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1700 Old Lebanon Rd",
            "address_purpose": "LOCATION",
            "city": "Campbellsville",
            "state": "KY",
            "postal_code": "427189615",
            "country_code": "US",
            "telephone_number": "270-789-6082",
            "fax_number": "270-789-6080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PROBUS",
        "first_name": "ALLEN",
        "middle_name": "DARRELL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-28",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3016881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, KY

Sources for this page

Verify at the official NPI Registry.