Rebecca Lynn Braden
Individual provider Active NPI Family Nurse Practitioner · Henderson, KY
NPI 1053973875 · NPPES record last updated Dec 5, 2022
Key facts
- NPI
- 1053973875
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 71009808A (IN)
- Practice address
- 151 N Gardenmile Rd
Henderson, KY 42420-5543 - Phone
- (270) 830-9186
- NPI assigned
- Jul 2, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fast Pace Kentucky, PLLC
Brock Medical, LLC
Practice addresses (Care Compare)
1350 N Main St
Madisonville, KY 42431-1282
Phone (270) 245-2554
1475 Nashville Rd
Franklin, KY 42134-6961
Phone (615) 988-1571
230 N Green St
Henderson, KY 42420-3109
Phone (270) 854-3196
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KY, IN
- 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 |
|---|---|---|---|---|
| I20190816001573 | KY | Practitioner - Nurse Practitioner | 6901133776 | Reassigns benefits to 4 organizations |
| I20200630001730 | IN | Practitioner - Nurse Practitioner | 6901133776 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3013340 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fast Pace Kentucky PLLC | Family Medicine | Current |
Accepting new patients |
| Fast Pace Kentucky PLLC | Current |
Accepting new patients | |
| Fast Pace Kentucky, PLLC | Current |
Accepting new patients | |
| Brock Medical, LLC | Current |
Accepting new patients | |
| Upperline Healthcare, PC | Family Medicine | Current |
Accepting new patients |
| Upperline Healthcare, PC | Current |
Accepting new patients | |
| St Mary'S Medical Group, LLC | Family Medicine | Current |
Accepting new patients |
| St Mary'S Medical Group, LLC | Current |
Accepting new patients | |
| St. Mary'S Health, Inc | Family Medicine | Past | Accepting new patients |
Locations
1332 Lincoln Ave
Evansville, IN 47714
Phone (812) 476-4362
3801 Bellemeade Ave
Ste 200E
Evansville, IN 47714
Phone (812) 485-1720
801 Saint Marys Dr
Ste 505E
Evansville, IN 47714
Phone (812) 491-3236
14020 Old State Rd
Ste C300
Evansville, IN 47725
Phone (812) 469-4755
100 St Marys Epworth Xing
Ste A100
Newburgh, IN 47630
Phone (812) 469-8160
1475 Nashville Rd
Franklin, KY 42134
Phone (270) 813-1111
230 N Green St
Henderson, KY 42420
Phone (270) 854-3196
2000 N Elm St
#2
Henderson, KY 42420
Phone (270) 831-6651
151 N Gardenmile Rd
Henderson, KY 42420
Phone (270) 830-9186
2955 Fort Campbell Blvd
Hopkinsville, KY 42240
Phone (270) 348-3677
1649 Highway 192 W
London, KY 40741
Phone (606) 330-0055
115 Tradepark Dr
Ste A
Somerset, KY 42503
Phone (606) 678-5708
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3013340 | KY | |
| Family Nurse Practitioner | 363LF0000X | 71009808A | IN | Yes |
Addresses
Primary practice location
151 N Gardenmile Rd
Henderson, KY 42420-5543
Mailing address
151 N Gardenmile Rd
Henderson, KY 42420-5543
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rebecca.braden.1@7598.direct.athenahealth.com | St Mary's Medical Group, LLC |
Other providers in Henderson, KY
- Danielle N Board
- Leslie Bobo-Kiesel
- Suzanne Michelle Bowling
- Abigail Thrasher Boyd
- Brad T Fulkerson, DMD,MSD,LLC
- Trudy Bramblett
- Nolan Bramschreiber
- Taylin Brandenberger
- Pamela Brasher
- Morgan Brawner
All providers in Henderson, 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 Dec 5, 2022. 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.