Individual provider Active NPI

Kendyl Joan Sumner, APRN

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1073275335
Registry record updated Nov 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3015894 Issued in KY
Practice address
6400 Dutchmans Pkwy Ste 60
Louisville, KY 40205-3341
Phone
(502) 780-6880
NPI assigned
Oct 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2021

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 3015894 KY Primary

Addresses

Primary practice location

6400 Dutchmans Pkwy Ste 60
Louisville, KY 40205-3341

Mailing address

6400 Dutchmans Pkwy Ste 60
Louisville, KY 40205-3341
Phone (502) 780-6880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211206000484 KY Practitioner - Nurse Practitioner 8325438468 Reassigns benefits to 2 organizations
I20220706000221 IN Practitioner - Nurse Practitioner 8325438468 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced ENT and Allergy PLLCGroup PAC ID 2769525385, 37 clinicians

Practice addresses (Care Compare)

108 W Daisy LN
New Albany, IN 47150-4537
Phone 50289301591188

2944 Breckenridge LN
Louisville, KY 40220-1409
Phone 50289301591188

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.34 of 100Reported as group
Quality
89.81
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3015894KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Management Centers of America, PSC Family CurrentSince Nov 2, 2021 Accepting new patients
Advanced ENT and Allergy PLLC Nurse Practitioner CurrentSince May 6, 2024 Accepting new patients
Merit Anesthesia PLLC CurrentSince May 6, 2024 Accepting new patients

Locations

1101 Professional Blvd
Ste 100
Evansville, IN 47714
Phone (812) 573-1207

1425 State St
#221
New Albany, IN 47150
Phone (812) 949-1223

108 W Daisy Ln
New Albany, IN 47150
Phone (812) 945-3557

935 Chambers Blvd
Unit A
Bardstown, KY 40004
Phone (502) 849-0050

6400 Dutchmans Pkwy
Ste 60
Louisville, KY 40205
Phone (502) 791-8700

1725 Gagel Ave
Louisville, KY 40216
Phone (502) 995-5525

2944 Breckenridge Ln
Louisville, KY 40220
Phone (502) 995-5525

67 Lakeview Dr
Paducah, KY 42001
Phone (270) 554-8373

140 Stonecrest Rd
Shelbyville, KY 40065
Phone (502) 633-0094

Organizations & group practices 3

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": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1073275335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 DUTCHMANS PKWY STE 60",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053341",
            "telephone_number": "502-780-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 DUTCHMANS PKWY STE 60",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053341",
            "telephone_number": "502-780-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMNER",
        "first_name": "KENDYL",
        "middle_name": "JOAN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-13",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3015894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.