David Vincent, APRN
Individual provider Active NPI Acute Care Nurse Practitioner · Murray, KY
NPI 1114600616 · NPPES record last updated Aug 10, 2023
Key facts
- NPI
- 1114600616
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- 4008070 (KY)
- Practice address
- 803 Poplar St
Murray, KY 42071-2432 - Phone
- (270) 762-1100
- NPI assigned
- Aug 10, 2023
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 10
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Murray-Calloway County Public Hospital Corporation
Practice addresses (Care Compare)
803 Poplar St
Murray, KY 42071-2432
Phone (270) 762-1597
Hospital & facility affiliations
- Murray-Calloway County Hospital
- West Tennessee Healthcare Henry County Hospital
- Trigg County Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.99 of 100
- Quality
- 73.34
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.31
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- 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 |
|---|---|---|---|---|
| I20230828001951 | KY | Practitioner - Nurse Practitioner | 8224491063 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Physician Services PC | Current |
Accepting new patients | |
| Murray-Calloway County Public Hospital Corporation | Current |
Accepting new patients | |
| Murray-Calloway County Public Hospital Corporation | Current |
Accepting new patients | |
| Murray-Calloway County Public Hospital Corporation | Current | Accepting new patients |
Locations
310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612
300 S 8th St
Ste 380W
Murray, KY 42071
Phone (270) 753-0704
300 S 8th St
Ste 480W
Murray, KY 42071
Phone (270) 762-1104
803 Poplar St
Murray, KY 42071
Phone (270) 762-1155
2501 Kentucky Ave
Paducah, KY 42003
Phone (270) 575-2180
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 4008070 | KY | Yes |
Addresses
Primary practice location
803 Poplar St
Murray, KY 42071-2432
Mailing address
300 S 8TH St Ste 480W
Murray, KY 42071-2403
Phone (270) 527-0807
Other providers in Murray, KY
- Heather Vascassenno
- Amy Vaughn
- James Clayton Vertrees
- Villagemd Clinicals Pharmacy Kentucky
- Villagemd Kentucky, PSC
- VMD Primary Providers Central Kentucky
- VMD Primary Providers Central Kentucky
- VMD Primary Providers Central Kentucky
- VMD Primary Providers Central Kentucky
- Richard L Vonnahme
All providers in Murray, KY · Acute Care 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 10, 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.