Individual provider Active NPI

Marvin Wilcutts

  • Family Nurse Practitioner
  • Paris, KY
National Provider Identifier
1063210003
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4035070 Issued in KY
Practice address
200 Letton Dr
Paris, KY 40361-2251
Phone
(859) 377-2245
NPI assigned
Mar 5, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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 4035070 KY Primary

Addresses

Primary practice location

200 Letton Dr
Paris, KY 40361-2251

Mailing address

PO Box 306414
Nashville, TN 37230-6414

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
I20250320003073 KY Practitioner - Nurse Practitioner 9436671278 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Kentucky, PLLCGroup PAC ID 0143525998, 213 clinicians

Practice addresses (Care Compare)

1475 Nashville Rd
Franklin, KY 42134-6961
Phone (615) 988-1571

200 Letton Dr
Paris, KY 40361-2251
Phone (859) 377-2245

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4035070KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Fast Pace Kentucky, PLLC CurrentSince Mar 1, 2025 Accepting new patients
Fast Pace Kentucky PLLC CurrentSince Mar 1, 2025 Accepting new patients
Brock Medical, LLC CurrentSince Mar 1, 2025 Accepting new patients
Fast Pace Kentucky PLLC Family CurrentSince Mar 1, 2025 Accepting new patients
Fast Pace Kentucky, PLLC Past Accepting new patients

Locations

1591 Hustonville Rd
Danville, KY 40422
Phone (270) 861-1110

301 Versailles Rd
Frankfort, KY 40601
Phone (502) 352-2310

1475 Nashville Rd
Franklin, KY 42134
Phone (270) 813-1111

1649 Highway 192 W
London, KY 40741
Phone (606) 330-0055

200 Letton Dr
Paris, KY 40361
Phone (859) 372-2245

115 Tradepark Dr
Ste A
Somerset, KY 42503
Phone (606) 678-5708

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1741132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1063210003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306414",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LETTON DR",
            "city": "PARIS",
            "state": "KY",
            "postal_code": "403612251",
            "telephone_number": "859-377-2245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCUTTS",
        "first_name": "MARVIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-05",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4035070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, KY

Sources for this page

Verify at the official NPI Registry.