Individual provider Active NPI

Elizabeth Hargis, APRN

  • Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1063933877
Registry record updated Sep 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3011429 Issued in KY
Practice address
8109 Bardstown Rd
Louisville, KY 40291-3441
Phone
(502) 384-4555
NPI assigned
Jun 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3011429 KY
Nurse Practitioner 363L00000X 3011429 KY Primary

Addresses

Primary practice location

8109 Bardstown Rd
Louisville, KY 40291-3441

Mailing address

9800 Shelbyville Rd Ste 220
Louisville, KY 40223-2992
Phone (502) 429-8585

Other identifiers 1

IdentifierTypeStateIssuer
3011429OtherKYNP LICENSE

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
I20170817002855 KY Practitioner - Nurse Practitioner 3476825951 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PSF PLLCGroup PAC ID 1557265543, 98 clinicians

Practice addresses (Care Compare)

8109 Bardstown Rd
Louisville, KY 40291-3441
Phone (502) 384-4555

Hospital & facility affiliations

  • Baptist Health Hardin Hospital, Elizabethtown, KY, CCN 180012

Merit-based Incentive Payment System (MIPS)

Final score
84.25 of 100Reported as group
Quality
86.03
Promoting interoperability
86
Improvement activities
40
Cost
73.15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3011429KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inspired Medical Services, LLC CurrentSince Mar 18, 2019 Accepting new patients
PSF PLLC Nurse Practitioner CurrentSince Mar 18, 2019 Accepting new patients

Locations

1000 E John Rowan Blvd
Ste 104
Bardstown, KY 40004
Phone (502) 337-7418

111 Wildflower Ln
Ste A
Campbellsvlle, KY 42718
Phone (270) 469-3408

2407 Ring Rd
Ste 100
Elizabethtown, KY 42701
Phone (270) 982-2112

9800 Shelbyville Rd
Ste 220
Louisville, KY 40223
Phone (502) 429-8585

8109 Bardstown Rd
Louisville, KY 40291
Phone (502) 384-4555

1578 Highway 44 E
Unit 8
Shepherdsville, KY 40165
Phone (502) 543-5390

Organizations & group practices 2

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": "1498780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567987200000",
    "number": "1063933877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 SHELBYVILLE RD STE 220",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402232992",
            "telephone_number": "502-429-8585",
            "fax_number": "502-429-6157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8109 BARDSTOWN RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402913441",
            "telephone_number": "502-384-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARGIS",
        "first_name": "ELIZABETH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-30",
        "last_updated": "2019-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3011429",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3011429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP LICENSE",
            "identifier": "3011429",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.