Active NPI
Dolphin Hills Family Healthcare
- Family Nurse Practitioner
- Elizabethtown, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- DOLPHIN HILLS FAMILY HEALTHCARE
- Practice address
- 410 N Mulberry St
Elizabethtown, KY 42701-1848 - Phone
- (270) 268-5036
- NPI assigned
- Jun 23, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melissa Anne Baumgardner, APRN
- Title
- Owner
- Phone
- (270) 268-5036
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
410 N Mulberry St
Elizabethtown, KY 42701-1848
Mailing address
189 S Antelope CT
Rineyville, KY 40162-9696
Phone (270) 268-5036
Other practice location 1
3046 Dolphin Dr Ste 101
Elizabethtown, KY 42701-7114
Phone (270) 268-5036 ext. 85036
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210723000939 | KY | Part B Supplier - Clinic/Group Practice | 5193128445 |
Receives reassigned benefits from 3 practitioners Practice locations: Elizabethtown, KY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 18D2228950 | Dolphin Hills Family Healthcare | Certificate of waiver | Jul 2, 2027 |
National Provider Directory
National Provider DirectoryLocations
3046 Dolphin Dr
Ste 101
Elizabethtown, KY 42701
Phone 2702685036 ext. 85036
3046 Dolphin Dr
Ste 100
Elizabethtown, KY 42701
Phone (270) 982-1400
3046 Dolphin Dr
Ste E
Elizabethtown, KY 42701
Interoperability endpoints
- https://api.platform.athenahealth.com/24513/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Elizabethtown, KY
- NPI 1063970366
Family, KY
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624406400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761523200000",
"number": "1114596095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "189 S ANTELOPE CT",
"city": "RINEYVILLE",
"state": "KY",
"postal_code": "401629696",
"telephone_number": "270-268-5036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 N MULBERRY ST",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427011848",
"telephone_number": "270-268-5036"
}
],
"practiceLocations": [
{
"address_1": "3046 Dolphin Dr Ste 101",
"address_purpose": "LOCATION",
"city": "Elizabethtown",
"state": "KY",
"postal_code": "427017114",
"country_code": "US",
"telephone_number": "270-268-5036 x85036",
"fax_number": "833-992-2250",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "DOLPHIN HILLS FAMILY HEALTHCARE",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-23",
"last_updated": "2025-10-27",
"certification_date": "2025-10-27",
"status": "A",
"authorized_official_last_name": "BAUMGARDNER",
"authorized_official_first_name": "MELISSA",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "270-268-5036",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elizabethtown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.