Individual provider Active NPI

David Vincent, APRN

  • Acute Care Nurse Practitioner
  • Murray, KY
National Provider Identifier
1114600616
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
4008070 Issued in KY
Practice address
803 Poplar St
Murray, KY 42071-2432
Phone
(270) 762-1100
NPI assigned
Aug 10, 2023
Last updated
Aug 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 4008070 KY Primary

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

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
I20230828001951 KY Practitioner - Nurse Practitioner 8224491063 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

803 Poplar St
Murray, KY 42071-2432
Phone (270) 762-1597

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.99 of 100Reported as group
Quality
73.34
Promoting interoperability
100
Improvement activities
40
Cost
73.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Murray-Calloway County Public Hospital Corporation CurrentSince Aug 14, 2023 Accepting new patients
Southeastern Physician Services PC CurrentSince Dec 1, 2024 Accepting new patients
Murray-Calloway County Public Hospital Corporation CurrentSince Aug 14, 2023 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

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1691625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1114600616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S 8TH ST STE 480W",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420712403",
            "telephone_number": "270-527-0807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 POPLAR ST",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420712432",
            "telephone_number": "270-762-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "DAVID",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-10",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "KY",
            "license": "4008070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, KY

Sources for this page

Verify at the official NPI Registry.