Individual provider Active NPI

Kerri Ann Wilson, APRN

  • Nurse Practitioner
  • Barbourville, KY
National Provider Identifier
1104384437
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3013183 Issued in KY
Practice address
315 Hospital Dr
Barbourville, KY 40906-7917
Phone
(606) 546-4060
NPI assigned
Mar 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3013183 KY Primary

Addresses

Primary practice location

315 Hospital Dr
Barbourville, KY 40906-7917

Mailing address

315 Hospital Dr
Barbourville, KY 40906-7917
Phone (606) 546-4060

Other names 1

  • Kerri Ann Laferriere Other name

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
I20190912003639 KY Practitioner - Nurse Practitioner 7517296783 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barbourville Family Health CenterGroup PAC ID 7416867387, 30 clinicians

Practice addresses (Care Compare)

315 Hospital Dr
Suite 2
Barbourville, KY 40906-7917
Phone (606) 546-4060

Hospital & facility affiliations

  • Baptist Health Corbin Hospital, Corbin, KY, CCN 180080
  • Knox County Hospital Hospital, Barbourville, KY, CCN 181328

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3013183KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Kentucky PLLC Family CurrentSince Feb 12, 2024 Accepting new patients
Fast Pace Kentucky, PLLC CurrentSince Feb 12, 2024 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Aug 1, 2019 Accepting new patients
Fast Pace Kentucky PLLC CurrentSince Feb 12, 2024 Accepting new patients
Barbourville Family Health Center CurrentSince Dec 18, 2020 Accepting new patients
Barbourville Family Health Center CurrentSince Dec 18, 2020 Accepting new patients
Brock Medical, LLC Nurse Practitioner CurrentSince Feb 12, 2024 Accepting new patients
Baptist Health Medical Group Inc Nurse Practitioner CurrentSince Aug 1, 2019 Accepting new patients
Barbourville Family Health Center Past Accepting new patients

Locations

215 N Allison Ave
Barbourville, KY 40906
Phone (606) 546-4166

315 Hospital Dr
Barbourville, KY 40906
Phone (606) 277-2999

315 Hospital Dr
Ste 2
Barbourville, KY 40906
Phone (606) 546-4060

1873 Cumberland Falls Hwy
Corbin, KY 40701
Phone (606) 404-6450

2 Trillium Way
Ste 306
Corbin, KY 40701
Phone (606) 523-4070

140 Bryan Blvd
Corbin, KY 40701
Phone (606) 523-2005

15100 N US Highway 25 E
Ste 1
Corbin, KY 40701
Phone (606) 261-2054

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

1475 Nashville Rd
Franklin, KY 42134
Phone (270) 813-1111

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

1649 Highway 192 W
London, KY 40741
Phone (606) 330-0055

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 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": "1551744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1104384437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 HOSPITAL DR",
            "city": "BARBOURVILLE",
            "state": "KY",
            "postal_code": "409067917",
            "telephone_number": "606-546-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 HOSPITAL DR",
            "city": "BARBOURVILLE",
            "state": "KY",
            "postal_code": "409067917",
            "telephone_number": "606-546-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KERRI",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-05",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3013183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERRI",
            "last_name": "LAFERRIERE",
            "middle_name": "ANN",
            "credential": "APRN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Barbourville, KY

Sources for this page

Verify at the official NPI Registry.