Individual provider Active NPI

Amy Nicole Mercer, APRN

  • Family Nurse Practitioner
  • Madisonville, KY
National Provider Identifier
1083117451
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3011956 Issued in KY
Practice address
1851 N Main St
Madisonville, KY 42431-9024
Phone
(270) 825-7268
Fax
(270) 825-6615
NPI assigned
Mar 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

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 3011956 KY Primary

Addresses

Primary practice location

1851 N Main St
Madisonville, KY 42431-9024

Mailing address

5200 Commerce Crossings Dr
3Rd Floor
Louisville, KY 40229-2182
Phone (502) 253-4900

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
I20180420001670 KY Practitioner - Nurse Practitioner 9830452077 Reassigns benefits to 2 organizations

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
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

1010 Medical Ctr Dr
Powderly, KY 42367-5463
Phone (270) 377-1600

1851 N Main St
Madisonville, KY 42431-9024
Phone (270) 825-7268

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Deaconess Medical Group Inc Family CurrentSince Sep 1, 2021 Accepting new patients
Baptist Health Deaconess Medical Group Inc Family CurrentSince Sep 1, 2021 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Apr 30, 2018 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Apr 30, 2018 Accepting new patients
Baptist Health Deaconess Medical Group Inc Past Accepting new patients
Baptist Health Deaconess Medical Group Inc Past Accepting new patients
Baptist Health Madisonville Inc Past Accepting new patients

Locations

96 Future Dr
Corbin, KY 40701

5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

2700 Stanley Gault Pkwy
Ste 129
Louisville, KY 40223
Phone (502) 253-4900

800 Hospital Dr
Fl 2
Madisonville, KY 42431
Phone (270) 326-3900

1851 N Main St
Madisonville, KY 42431
Phone (270) 821-7739

1010 Medical Center Dr
Powderly, KY 42367
Phone (270) 338-8000

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": "1520899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1083117451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 COMMERCE CROSSINGS DR",
            "address_2": "3RD FLOOR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402292182",
            "telephone_number": "502-253-4900",
            "fax_number": "502-489-5751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 N MAIN ST",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424319024",
            "telephone_number": "270-825-7268",
            "fax_number": "270-825-6615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCER",
        "first_name": "AMY",
        "middle_name": "NICOLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-13",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3011956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madisonville, KY

Sources for this page

Verify at the official NPI Registry.