Allen Darrell Probus Jr., FNP-C
Individual provider Active NPI Family Nurse Practitioner · Williamsburg, KY
NPI 1043974710 · NPPES record last updated Mar 28, 2024
Key facts
- NPI
- 1043974710
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 3016881 (KY)
- Practice address
- 896 S Highway 25W
Williamsburg, KY 40769 - Phone
- (606) 376-9700
- NPI assigned
- Oct 28, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 3
Medicare Care Compare profile
- 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
- Uni Care Home Care Inc
- El Centro Regional Medical Center
- Prowers Medical Center
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 |
|---|---|---|---|---|
| I20220125002953 | KY | Practitioner - Nurse Practitioner | 7618369620 | Reassigns benefits to 8 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Inc | Current |
Accepting new patients | |
| Taylor Regional Medical Group,LLC | Current | Accepting new patients | |
| South Central Physicians PLLC | Family | Current |
Accepting new patients |
| Taylor Regional Medical Group | Family | Current |
Accepting new patients |
| Concord Medical Group of Kentucky PLLC | Family | Current |
Accepting new patients |
| Baptist Health Medical Group Inc | Current |
Accepting new patients | |
| Hope Primary & Urgent Care of Williamsburg PLLC | Current |
Accepting new patients | |
| Hope Primary & Urgent Care PLLC | Current |
Accepting new patients | |
| Concord Company of Tennessee PLLC | Current |
Accepting new patients | |
| Taylor Regional Medical Group LLC | Family | Current |
Accepting new patients |
Locations
1700 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561
1698 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 (469) 809-6712
Interoperability endpoints
- allendarrell.probus.p1@direct.cdsdp.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3016881 | KY | Yes |
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
460 Forest Ave
Williamsburg, KY 40769-2042
Phone (352) 650-5487
Other practice location 2
2157 S Highway 27
Stearns, KY 42647-6297
Phone (606) 376-9700
Other practice location 3
1700 Old Lebanon Rd
Campbellsville, KY 42718-9615
Phone (270) 789-6082
Other providers in Williamsburg, KY
- Zachary Phillips
- Edward Jonathan Powers
- Roger Powers
- Preferred Healthcare Incorporated
- Lesleigh Gail Prewitt
- PT Pros, Inc.
- PT Solutions Holdings, LLC
- Jake E Purkins
- Dillon Chandler Reed
- Laura Reed
All providers in Williamsburg, 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 Mar 28, 2024. 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.