Individual provider Active NPI

Steven M Gauze, ARNP

  • Family Health Clinical Nurse Specialist
  • Inez, KY
National Provider Identifier
1083613079
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X
License
3004341 Issued in KY
Practice address
2160 Blacklog Rd
Suite 120
Inez, KY 41224-9019
Phone
(606) 298-7405
Fax
(606) 298-3284
NPI assigned
Jul 20, 2005
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Health Clinical Nurse Specialist 364SF0001X 3004341 KY Primary

Addresses

Primary practice location

2160 Blacklog Rd
Suite 120
Inez, KY 41224-9019

Mailing address

2160 Blacklog Rd
Suite 120
Inez, KY 41224-9019
Phone (606) 298-7405

Other identifiers 2

IdentifierTypeStateIssuer
78012770MedicaidKY
3810001297MedicaidWV

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
I20041007000258 KY Practitioner - Nurse Practitioner 6204895071 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Kentucky College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lon Lafferty MD PSCGroup PAC ID 4880764141, 2 clinicians

Practice addresses (Care Compare)

2160 Blacklog Rd
Inez, KY 41224-9019
Phone (606) 298-5028

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3004341KYMDFamily Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Warfield Rural Healthcare, Inc CurrentSince Apr 15, 2025 Accepting new patients
Lon Lafferty MD PSC CurrentSince Jun 1, 2007 Accepting new patients
Tri State Family Medical Center, LLC PastSince Aug 1, 2009 Accepting new patients
Three Rivers Medical Clinics Inc Past Accepting new patients
Kings Daughters Medical Specialties Inc Past Accepting new patients

Locations

2160 Blacklog Rd
Inez, KY 41224
Phone (606) 295-5028

2160 Blacklog Rd
Ste 120
Inez, KY 41224
Phone (606) 298-5028

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1083613079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 BLACKLOG RD",
            "address_2": "SUITE 120",
            "city": "INEZ",
            "state": "KY",
            "postal_code": "412249019",
            "telephone_number": "606-298-7405",
            "fax_number": "606-298-3284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 BLACKLOG RD",
            "address_2": "SUITE 120",
            "city": "INEZ",
            "state": "KY",
            "postal_code": "412249019",
            "telephone_number": "606-298-7405",
            "fax_number": "606-298-3284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUZE",
        "first_name": "STEVEN",
        "middle_name": "M",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "KY",
            "license": "3004341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78012770",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810001297",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Inez, KY

Sources for this page

Verify at the official NPI Registry.