NPIMap

Individual provider Active NPI

Beth Deyoung, APRN

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1104275031
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3010700 Issued in KY
Practice address
1169 Eastern Pkwy Ste 2211
Louisville, KY 40217-1444
Phone
(502) 635-2775
Fax
(502) 371-0475
NPI assigned
Jun 10, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3010700 KY
Family Nurse Practitioner 363LF0000X 3010700 KY Primary
Registered Nurse First Assistant 163WR0006X 28163941A IN
Registered Nurse First Assistant 163WR0006X 1133702 KY

Addresses

Primary practice location

1169 Eastern Pkwy Ste 2211
Louisville, KY 40217-1444

Mailing address

1795 Alysheba Way Ste 7202
Lexington, KY 40509-2481
Phone (502) 461-3779

Other practice location 1

1795 Alysheba Way Ste 7202
Lexington, KY 40509-2481
Phone (502) 461-3779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161012001283 KY Practitioner - Nurse Practitioner 5294023958 Reassigns benefits to 5 organizations
I20170518000550 IN Practitioner - Nurse Practitioner 5294023958 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pain Management Consultants, LLCGroup PAC ID 7416908009, 2 clinicians

Practice addresses (Care Compare)

1169 Eastern Pkwy
Suite 2211
Louisville, KY 40217-1444
Phone (502) 635-2775

1900 Bluegrass Ave
Suite 300
Louisville, KY 40215-1183
Phone (502) 815-7336

Hospital & facility affiliations

  • UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Hospital, Louisville, KY, CCN 180040
  • Norton Hospitals, Inc Hospital, Louisville, KY, CCN 180088

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1133702KYMDRegistered Nurse First Assistant
3010700KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
PPL Therapeutic Services PLLC CurrentSince May 1, 2023 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Nov 12, 2018 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Nov 12, 2018 Accepting new patients
University of Louisville Physicians, Inc. Current Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Pain Management Consultants, LLC CurrentSince Jul 22, 2024 Accepting new patients
University of Louisville Physicians, Inc CurrentSince Aug 1, 2025 Accepting new patients
Baptist Health Medical Group Inc Past Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

3605 Northgate Ct
Ste 102
New Albany, IN 47150
Phone (812) 944-4263

100 Carmel Manor Dr
Fort Thomas, KY 41075
Phone (859) 781-5111

1169 Eastern Pkwy
Ste 2211
Louisville, KY 40217
Phone (502) 635-2775

2529 Six Mile Ln
Louisville, KY 40220
Phone (502) 491-5560

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

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

225 Abraham Flexner Way
Ste 700
Louisville, KY 40202
Phone (502) 562-0398

9107 Taylorsville Rd
Louisville, KY 40299
Phone (502) 380-6585

1900 Bluegrass Ave
Ste 300
Louisville, KY 40215
Phone (502) 361-1222

210 E Gray St
Ste 802
Louisville, KY 40202
Phone (502) 290-7575

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61141
  • Direct secure messaging: bdeyoung@pmcdrberg.directbygreenway.com

Organizations & group practices 9

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 36

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 36

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1104275031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1795 ALYSHEBA WAY STE 7202",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092481",
            "telephone_number": "502-461-3779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1169 EASTERN PKWY STE 2211",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171444",
            "telephone_number": "502-635-2775",
            "fax_number": "502-371-0475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1795 Alysheba Way Ste 7202",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405092481",
            "country_code": "US",
            "telephone_number": "502-461-3779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEYOUNG",
        "first_name": "BETH",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-10",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3010700",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3010700",
            "primary": true
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "IN",
            "license": "28163941A",
            "primary": false
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "KY",
            "license": "1133702",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.