Individual provider Active NPI

Erin Eichenberger, APRN-C, FNP

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1134616410
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3011912 Issued in KY
Practice address
1900 Bluegrass Ave
Louisville, KY 40215-1144
Phone
(502) 367-4500
NPI assigned
Apr 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 342904 NY
Nurse Practitioner 363L00000X 71010651A IN
Family Nurse Practitioner 363LF0000X 3011912 KY Primary

Addresses

Primary practice location

1900 Bluegrass Ave
Louisville, KY 40215-1144

Mailing address

PO Box 909
Louisville, KY 40201-0909
Phone (502) 367-4500

Other practice location 1

2100 N Main St Ste 304
Crown Point, IN 46307-1877
Phone (574) 546-1900

Other practice location 2

101 S 5th St Ste 2500
Louisville, KY 40202-3066
Phone (574) 546-1900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180525002073 NY Practitioner - Nurse Practitioner 3971868753 Reassigns benefits to 1 organization
I20200915002988 KY Practitioner - Nurse Practitioner 3971868753 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

1031 New Moody Lane
Suite 200
La Grange, KY 40031-9182
Phone (502) 225-9877

Hospital & facility affiliations

  • Baptist Health Louisville Hospital, Louisville, KY, CCN 180130
  • Baptist Health Lagrange Hospital, La Grange, KY, CCN 180138
  • Baptist Health Floyd Hospital, New Albany, IN, CCN 150044
  • Baptist Health Hardin Hospital, Elizabethtown, KY, CCN 180012

Merit-based Incentive Payment System (MIPS)

Final score
78.96 of 100Reported as group
Quality
56.12
Promoting interoperability
100
Improvement activities
40
Cost
73.73

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71010651AINMDNurse Practitioner
3011912KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. Family Medicine Current Accepting new patients
Mary Imogene Bassett Hospital CurrentSince May 14, 2018 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Jun 28, 2021 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince May 14, 2018 Accepting new patients
Baptist Health Medical Group, Inc. Family Medicine CurrentSince Apr 17, 2024 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Apr 17, 2024 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Jun 28, 2021 Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

1031 New Moody Ln
Ste 200
Lagrange, KY 40031
Phone (502) 222-3312

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

1900 Bluegrass Ave
Ste 103
Louisville, KY 40215

5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924

178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456

1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480

739 State Highway 28
Oneonta, NY 13820
Phone (607) 431-1015

739 State Highway 28
Ste 9
Oneonta, NY 13820
Phone (607) 431-1015

Organizations & group practices 7

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

Hospital & facility affiliations 4

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": "1524355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1134616410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402010909",
            "telephone_number": "502-367-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 BLUEGRASS AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402151144",
            "telephone_number": "502-367-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 N Main St Ste 304",
            "address_purpose": "LOCATION",
            "city": "Crown Point",
            "state": "IN",
            "postal_code": "463071877",
            "country_code": "US",
            "telephone_number": "574-546-1900",
            "fax_number": "574-546-1999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 S 5th St Ste 2500",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402023066",
            "country_code": "US",
            "telephone_number": "574-546-1900",
            "fax_number": "574-546-1999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EICHENBERGER",
        "first_name": "ERIN",
        "credential": "APRN-C, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-22",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "342904",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71010651A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3011912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.