Melissa Anne Baumgardner, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3013180 Issued in KY

Practice address

410 N Mulberry St
Elizabethtown, KY 42701-1848

Phone

(270) 268-5036

NPI assigned

Mar 5, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Elizabethtown, KY, CCN 187085
• Hosparus, Inc Hospice, Louisville, KY, CCN 181502
• Baptist Health Hardin Hospital, Elizabethtown, KY, CCN 180012

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: melissa.baumgardner.1@24513.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/24513/brand/1/csg/1/fhir/r4

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.

• Dolphin Hills Family Healthcare

  • Family Nurse Practitioner
  • Elizabethtown, KY
  • NPI 1114596095

  Family, KY

  Medicare reassignment NPD Authorized official
• A Plus Family Healthcare LLC

  • Federally Qualified Health Center (FQHC)
  • Brownsville, KY
  • NPI 1114442191

  KY

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Healthcare System Inc

  • General Acute Care Hospital
  • Elizabethtown, KY
  • NPI 1689282147

  Hospital

  Care Compare affiliation
• Centerwell Health Services USA, LLC

  • Home Health Agency
  • Elizabethtown, KY
  • NPI 1598748600
  Care Compare affiliation
• Hosparus Inc.

  • Community Based Hospice Care Agency
  • Madisonville, KY
  • NPI 1093491904

  Hospice

  Care Compare affiliation
• Hosparus Inc.

  • Community Based Hospice Care Agency
  • Louisville, KY
  • NPI 1609922707

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730592000000",
    "number": "1063970366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 N MULBERRY ST",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427011848",
            "telephone_number": "270-268-5036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N MULBERRY ST",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427011848",
            "telephone_number": "270-268-5036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3046 Dolphin Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "KY",
            "postal_code": "427017182",
            "country_code": "US",
            "telephone_number": "270-982-1400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12080 S Dixie Hwy",
            "address_purpose": "LOCATION",
            "city": "Sonora",
            "state": "KY",
            "postal_code": "427769739",
            "country_code": "US",
            "telephone_number": "270-640-9868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUMGARDNER",
        "first_name": "MELISSA",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-05",
        "last_updated": "2024-11-03",
        "certification_date": "2024-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3013180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George W Bauer III, M.D.
• Pedro Sagmit Baula Jr., MD
• Victoria Mercado Baula, MD
• Baumgardner Assisting PLLC
• Chelsea Roshell Baumgardner, APRN
• Barbara Ann Baxter, COTA
• Betsy J Beach
• Dolores Gail Beach, RN
• Beacon of Hope
• Beacon of Light Behavioral Health, LLC.

• All providers in Elizabethtown, KY
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.