Individual provider Active NPI

Matthew Allan Hensley, APRN

  • Family Nurse Practitioner
  • Ashland, KY
National Provider Identifier
1073820205
Registry record updated May 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3006582 Issued in KY
Practice address
2245 Winchester Ave
Ashland, KY 41101-7848
Phone
(606) 408-2600
Fax
(606) 408-2605
NPI assigned
Sep 9, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2015

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 3006582 KY Primary
Family Nurse Practitioner 363LF0000X 11772-NP OH

Addresses

Primary practice location

2245 Winchester Ave
Ashland, KY 41101-7848

Mailing address

PO Box 1595
Ashland, KY 41105-1595
Phone (606) 408-6200

Other identifiers 5

IdentifierTypeStateIssuer
P00962937OtherKYRR MEDICARE
P00901248OtherOHRR MEDICARE
7100144230MedicaidKY
3810019002MedicaidWV
3091032MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 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
I20101103000628 KY Practitioner - Nurse Practitioner 2163616103 Reassigns benefits to 1 organization
I20101115000416 OH Practitioner - Nurse Practitioner 2163616103 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ashland Hospital CorporationGroup PAC ID 7719882521, shared by 6 NPIs, 169 clinicians

Practice addresses (Care Compare)

2245 Winchester Ave
Ashland, KY 41101-7848
Phone (606) 406-2600

384 County Rd 120
South Point, OH 45680-7807
Phone (740) 894-2080

384 County Rd 120 So
South Point, OH 45680-7807
Phone (740) 894-2080

912 Park Ave
Ironton, OH 45638-1596
Phone (740) 534-0021

Hospital & facility affiliations

  • King'S Daughters' Medical Center Hospital, Ashland, KY, CCN 180009

Merit-based Incentive Payment System (MIPS)

Final score
89.16 of 100Reported as group
Quality
77.42
Promoting interoperability
100
Improvement activities
40
Cost
77.62

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11772-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ashland Hospital Corporation Current Accepting new patients
Kings Daughters Medical Specialties Inc CurrentSince Feb 24, 2013 Accepting new patients
Ashland Hospital Corporation CurrentSince Sep 8, 2010 Accepting new patients
Ashland Hospital Corporation Current Accepting new patients
Ashland Hospital Corporation Family CurrentSince Sep 8, 2010 Accepting new patients
Kings Daughters Medical Specialties Inc CurrentSince Feb 24, 2013 Accepting new patients
Ashland Hospital Corporation CurrentSince Sep 8, 2010 Accepting new patients

Locations

10650 US Route 60
Ashland, KY 41102
Phone (606) 408-6301

12470 US Route 60
Ashland, KY 41102
Phone (606) 408-6303

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

12100 Princeland Spur
Ashland, KY 41102
Phone (606) 928-2963

2245 Winchester Ave
Ashland, KY 41101
Phone (606) 408-2600

105 State Highway 1947
#B
Grayson, KY 41143
Phone (606) 474-7808

384 County Road 120 S
South Point, OH 45680
Phone (740) 894-2080

1242 Crescent Dr
Wheelersburg, OH 45694
Phone (740) 574-8441

Interoperability endpoints

  • Direct secure messaging: mhensley8527@direct.kdhealth.us

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.

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": "1283990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430697600000",
    "number": "1073820205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1595",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411051595",
            "telephone_number": "606-408-6200",
            "fax_number": "606-408-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2245 WINCHESTER AVE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017848",
            "telephone_number": "606-408-2600",
            "fax_number": "606-408-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSLEY",
        "first_name": "MATTHEW",
        "middle_name": "ALLAN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-09",
        "last_updated": "2015-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3006582",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "11772-NP",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00962937",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00901248",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100144230",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810019002",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3091032",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

Verify at the official NPI Registry.