Individual provider Active NPI

Macy Victoria Chambers, APRN

  • Nurse Practitioner
  • Corbin, KY
National Provider Identifier
1053063867
Registry record updated Jan 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3017325 Issued in KY
Practice address
2 Trillium Way Ste 106
Corbin, KY 40701-8426
Phone
(606) 526-4070
Fax
(606) 526-4072
NPI assigned
Jan 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3017325 KY Primary

Addresses

Primary practice location

2 Trillium Way Ste 106
Corbin, KY 40701-8426

Mailing address

1023 Sublimity Hollow Rd
Girdler, KY 40943-6412
Phone (606) 545-9892

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
I20220210000088 KY Practitioner - Nurse Practitioner 5193118420 Reassigns benefits to 6 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
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

1 Trillium Way
Corbin, KY 40701-8420
Phone (606) 528-1212

1 Trillium Way
Corbin, KY 40701-8426
Phone (954) 939-5000

2 Trillium Way
Suite 306
Corbin, KY 40701-8426
Phone (606) 526-4070

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.63 of 100Reported as group
Quality
81.08
Promoting interoperability
100
Improvement activities
40
Cost
81

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Emergency Physicians LLC Nurse Practitioner CurrentSince Aug 13, 2023 Accepting new patients
Memorial Hospital Inc CurrentSince Dec 20, 2023 Accepting new patients
Memorial Hospital, Inc. Current Accepting new patients
Kentucky Em-I Medical Services PSC Nurse Practitioner CurrentSince Mar 18, 2026 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jan 1, 2022 Accepting new patients
Memorial Hospital, Inc. CurrentSince Dec 20, 2023 Accepting new patients
Kentucky Em-I Medical Services PSC Nurse Practitioner CurrentSince Mar 18, 2026 Accepting new patients
Memorial Hospital Inc. CurrentSince Dec 20, 2023 Accepting new patients
Baptist Health Medical Group Inc Nurse Practitioner CurrentSince Jan 1, 2022 Accepting new patients

Locations

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

2 Trillium Way
Ste 106
Corbin, KY 40701
Phone (606) 526-4070

2 Trillium Way
Ste 306
Corbin, KY 40701
Phone (606) 523-4070

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924

1033 N Highway 11
Manchester, KY 40962
Phone (606) 598-6163

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

53 Queendale Ctr
Red Bird, KY 40913
Phone (606) 598-5135

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.

Hospital & facility affiliations 1

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": "1642896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642896000000",
    "number": "1053063867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 SUBLIMITY HOLLOW RD",
            "city": "GIRDLER",
            "state": "KY",
            "postal_code": "409436412",
            "telephone_number": "606-545-9892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 TRILLIUM WAY STE 106",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407018426",
            "telephone_number": "606-526-4070",
            "fax_number": "606-526-4072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERS",
        "first_name": "MACY",
        "middle_name": "VICTORIA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-23",
        "last_updated": "2022-01-23",
        "certification_date": "2022-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3017325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corbin, KY

Sources for this page

Verify at the official NPI Registry.