Individual provider Active NPI

Natalie Stone, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Berea, KY
National Provider Identifier
1154058675
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3018122 Issued in KY
Practice address
116 N Broadway St Ste 6
Berea, KY 40403-1504
Phone
(859) 302-9978
NPI assigned
Aug 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3018122 KY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 10025052 OR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3018122 KY Primary

Addresses

Primary practice location

116 N Broadway St Ste 6
Berea, KY 40403-1504

Mailing address

146 E Haiti Rd
Berea, KY 40403-1650

Other practice location 1

147 Commercial St NE Ste 13
Salem, OR 97301-3418
Phone (859) 302-9978

Other identifiers 1

IdentifierTypeStateIssuer
7100842440MedicaidKY

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
I20230811000837 KY Practitioner - Nurse Practitioner 3678935335 Reassigns benefits to 3 organizations
Practice locations: Berea, KY

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kentucky Post-Acute Medical Services 1 PSCGroup PAC ID 9234471426, 25 clinicians

Practice addresses (Care Compare)

116 N Broadway St
Suite 6
Berea, KY 40403-1504
Phone (859) 302-9978

5220 Grey Oak LN
Nicholasville, KY 40356-6078
Phone (859) 971-4910

723 Old Burkesville Rd
Albany, KY 42602-1654
Phone (606) 387-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3018122KYMDNurse Practitioner
10025052ORMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NV Pacs 2 LLC CurrentSince Nov 5, 2023 Accepting new patients
Stone Behavioral Health LLC Psychiatric/Mental Health CurrentSince Apr 8, 2024 Accepting new patients
Kentucky Post-Acute Medical Services 1 PSC Nurse Practitioner CurrentSince Nov 5, 2023 Accepting new patients
Optimal Living Services, LLC PastSince Aug 1, 2022 Accepting new patients

Locations

723 Burkesville Rd
Albany, KY 42602
Phone (606) 387-6421

55 Foundation Dr
Flemingsburg, KY 41041
Phone (606) 849-2351

1505 S Dixie St
Horse Cave, KY 42749
Phone (270) 786-2200

147 Commercial St NE
Ste 13
Salem, OR 97301
Phone (859) 302-9978

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1659571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1154058675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 E HAITI RD",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404031650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 N BROADWAY ST STE 6",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404031504",
            "telephone_number": "859-302-9978"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "147 Commercial St NE Ste 13",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973013418",
            "country_code": "US",
            "telephone_number": "859-302-9978",
            "fax_number": "866-547-0296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STONE",
        "first_name": "NATALIE",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3018122",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10025052",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3018122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100842440",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berea, KY

Sources for this page

Verify at the official NPI Registry.