Heather L. Bates, APRN
Individual provider Active NPI Nurse Practitioner · Edgewood, KY
NPI 1104557255 · NPPES record last updated Aug 14, 2023
Key facts
- NPI
- 1104557255
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 3017904 (KY)
- Practice address
- 1 Medical Village Dr
Edgewood, KY 41017-3403 - Phone
- (859) 301-2465
- Fax
- (859) 301-4941
- NPI assigned
- Jun 20, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 18
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Elizabeth Medical Center, Inc
Practice addresses (Care Compare)
1 Medical Village Dr
Edgewood, KY 41017-3403
Phone (859) 301-2237
Hospital & facility affiliations
- St Elizabeth Edgewood
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KY, OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220711003039 | KY | Practitioner - Nurse Practitioner | 6901286798 | Reassigns benefits to 2 organizations |
| I20220719000591 | OH | Practitioner - Nurse Practitioner | 6901286798 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Elizabeth Medical Center, Inc. | Nurse Practitioner | Current |
Accepting new patients |
| St Elizabeth Medical Center, Inc | Current |
Accepting new patients | |
| St Elizabeth Medical Center, Inc | Nurse Practitioner | Current | Accepting new patients |
| Kiosk Medicine Kentucky LLC | Family | Current |
Accepting new patients |
| The Little Clinic of Ohio LLC | Family | Current |
Accepting new patients |
Locations
1 Medical Village Dr
Edgewood, KY 41017
Phone (859) 301-2000
4900 Houston Rd
Florence, KY 41042
Phone (859) 212-5200
3105 N Bend Rd
Hebron, KY 41048
Phone (859) 962-4920
1700 Declaration Dr
Independence, KY 41051
Phone (859) 363-9020
3039 Breckenridge Ln
Louisville, KY 40220
Phone (502) 451-4555
375 Cross Roads Blvd
Newport, KY 41076
Phone (859) 448-1170
199 Graceland Blvd
Columbus, OH 43214
Phone (614) 410-2814
11390 Montgomery Rd
Montgomery, OH 45249
Phone (513) 247-7760
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3017904 | KY | |
| Nurse Practitioner | 363L00000X | 3017904 | KY | Yes |
Addresses
Primary practice location
1 Medical Village Dr
Edgewood, KY 41017-3403
Mailing address
PO Box 635283
Cincinnati, OH 45263-5283
Phone (859) 344-5555
Other practice location 1
375 Cross Roads Blvd
Cold Spring, KY 41076-2202
Phone (859) 898-1608
Other providers in Edgewood, KY
- Deborah Joy Barnett
- Grant Russell Barnett
- Daniel Bartlett
- Tiffani Sandra Bartolac
- Kayla Joann Bateman
- Matthew Ryan Baucom
- Kenneth Bazydlo
- Dawn Marie Beahr
- Angela Sue Beale Martin
- Karli Danielle Beasley
All providers in Edgewood, KY · Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.