Active NPI
Allen Darrell Probus Jr., FNP-C
- Family Nurse Practitioner
- Williamsburg, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3016881
- Practice address
- 896 S Highway 25W
Williamsburg, KY 40769 - Phone
- (606) 376-9700
- NPI assigned
- Oct 28, 2021
- Last updated
- Mar 28, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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 District
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Taylor Regional Medical Group LLC | Family | Current | Accepting new patients |
| Hope Primary & Urgent Care PLLC | Current | Accepting new patients | |
| Taylor Regional Medical Group,LLC | Current | Accepting new patients | |
| Concord Medical Group of Kentucky PLLC | Family | Current | Accepting new patients |
| South Central Physicians PLLC | Family | Current | Accepting new patients |
| Taylor Regional Medical Group | Family | Current | Accepting new patients |
| Concord Company of Tennessee PLLC | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Hope Primary & Urgent Care of Williamsburg PLLC | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | 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
- 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.
-
dba Dawson Springs Rural Health Clinic
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
-
- Emergency Medicine Physician
- Leitchfield, KY
- NPI 1649743667
-
- Emergency Medicine Physician
- Hardinsburg, KY
- NPI 1346746385
Family
-
- Rural Health Clinic/Center
- Williamsburg, KY
- NPI 1851058028
-
- Rural Health Clinic/Center
- Stearns, KY
- NPI 1134606403
-
dba Taylor Regional Women for Women
- Obstetrics & Gynecology Physician
- Campbellsville, KY
- NPI 1174697601
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1366722316
-
- Rural Health Clinic/Center
- Madisonville, KY
- NPI 1730734229
-
dba Taylor Regional Hospitalist
- Hospitalist Physician
- Campbellsville, KY
- NPI 1649422759
Family
-
dba Taylor Regional Hospital Health Clinic
- Rural Health Clinic/Center
- Campbellsville, KY
- NPI 1073370185
Family
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- El Centro, CA
- NPI 1861409823
-
dba Prowers Medical Center
- Critical Access Hospital
- Lamar, CO
- NPI 1821052929
-
- Home Health Agency
- El Centro, CA
- NPI 1003215518
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.