Individual provider Active NPI

Anna V Gass, APRN

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1104255629
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3008327 Issued in KY
Practice address
529 S Jackson St
Louisville, KY 40202-3229
Phone
(502) 561-7220
Fax
(502) 588-9529
NPI assigned
Nov 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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 3008327 KY Primary

Addresses

Primary practice location

529 S Jackson St
Louisville, KY 40202-3229

Mailing address

PO Box 950244
Louisville, KY 40295-0244
Phone (502) 774-8631

Other practice location 1

2215 Portland Ave
Louisville, KY 40212-1033
Phone (502) 774-8631

Other practice location 2

834 E Broadway
Louisville, KY 40204-1072
Phone (502) 583-1981

Other identifiers 1

IdentifierTypeStateIssuer
7100270100MedicaidKY

Other names 1

  • Anna B Vissman Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address credentialing@fhclouisville.org Direct

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
I20131206001019 KY Practitioner - Nurse Practitioner 1052548534 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Louisville School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Louisville Physicians IncGroup PAC ID 3476725599, 1,438 clinicians

Practice addresses (Care Compare)

529 S Jackson St
Louisville, KY 40202-1671
Phone (502) 562-4360

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3008327KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. Current Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Feb 20, 2024 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Feb 20, 2024 Accepting new patients
Family Health Centers, Inc. Current Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

1000 Neighborhood Pl
Fairdale, KY 40118
Phone (502) 361-2381

712 E Muhammad Ali Blvd
Louisville, KY 40202
Phone (502) 568-6972

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

4100 Taylor Blvd
Louisville, KY 40215
Phone (502) 361-2381

2215 Portland Ave
Louisville, KY 40212
Phone (502) 774-8631

529 S Jackson St
Louisville, KY 40202
Phone (502) 562-4370

Interoperability endpoints

  • Direct secure messaging: agass41539@uoflhealth-dm.org

Organizations & group practices 4

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": "1383609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1104255629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950244",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402950244",
            "telephone_number": "502-774-8631",
            "fax_number": "502-772-8189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 S JACKSON ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402023229",
            "telephone_number": "502-561-7220",
            "fax_number": "502-588-9529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2215 Portland Ave",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402121033",
            "country_code": "US",
            "telephone_number": "502-774-8631",
            "fax_number": "502-772-8189",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "834 E Broadway",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402041072",
            "country_code": "US",
            "telephone_number": "502-583-1981",
            "fax_number": "502-996-8309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GASS",
        "first_name": "ANNA",
        "middle_name": "V",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-05",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3008327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100270100",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "credentialing@fhclouisville.org",
            "affiliation": "N",
            "endpointDescription": "Employer",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2215 Portland Ave",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402121033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "VISSMAN",
            "middle_name": "B",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.