Alicia Cheryl Henning, APRN
Individual provider Active NPI Family Nurse Practitioner · Hardinsburg, KY
NPI 1134513559 · NPPES record last updated Jun 30, 2022
Key facts
- NPI
- 1134513559
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 3009249 (KY)
- Practice address
- 124 W 3Rd St
Hardinsburg, KY 40143-2624 - Phone
- (270) 580-4050
- Fax
- (270) 266-4200
- NPI assigned
- Mar 24, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Henning Family Practice, LLC
Practice addresses (Care Compare)
124 W 3Rd St
Hardinsburg, KY 40143-2624
Phone (270) 580-4050
Hospital & facility affiliations
- Breckinridge Memorial Hospital
- Baptist Health Hardin
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 |
|---|---|---|---|---|
| I20150615001977 | KY | Practitioner - Nurse Practitioner | 8729399951 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3009249 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henning Family Practice, LLC | Current |
Accepting new patients | |
| Ack Healthcare Management LLC | Past | Accepting new patients |
Locations
124 W 3rd St
Ste 2000
Hardinsburg, KY 40143
124 W 3rd St
Hardinsburg, KY 40143
Phone (270) 580-4050
1520 4th St
Lewisport, KY 42351
Phone (270) 295-3890
Interoperability endpoints
- alicia.henning@384845251674116.direct.elationemr.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3009249 | KY | Yes |
Addresses
Primary practice location
124 W 3Rd St
Hardinsburg, KY 40143-2624
Mailing address
124 W 3Rd St Ste 2000
Hardinsburg, KY 40143-2624
Phone (270) 580-4050
Other providers in Hardinsburg, KY
- Hardinsburg Eyecare Center PLLC
- Hardinsburg Health Center LLC
- Hardinsburg Health Facilities LP
- Erica Hayes
- Henning Family Practice, LLC
- Lori Beth Henning
- David Timothy Hicks
- Emily Royalty Hinton
- Erica Renee Johnston
- Kent'S Chiropratic PSC
All providers in Hardinsburg, KY · Family 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 Jun 30, 2022. 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.