Individual provider Active NPI

Beverly A. Kestler, ARNP

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1164613568
Registry record updated Oct 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3005046 Issued in KY
Practice address
2360 Stony Brook Dr
Louisville, KY 40220-4018
Phone
(502) 446-5462
Fax
(502) 394-3670
NPI assigned
Aug 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5046P KY
Family Nurse Practitioner 363LF0000X 3005046 KY Primary

Addresses

Primary practice location

2360 Stony Brook Dr
Louisville, KY 40220-4018

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490

Other identifiers 1

IdentifierTypeStateIssuer
7100074150MedicaidKY

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address bkestler154004@direct.nortonhealthcare.org
FHIR URL https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 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
I20081007000758 KY Practitioner - Nurse Practitioner 8820166564 Reassigns benefits to 1 organization
I20141209000219 IN Practitioner - Nurse Practitioner 8820166564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, shared by 2 NPIs, 1,368 clinicians

Practice addresses (Care Compare)

1373 E State Rd
Madison, IN 47250-7328

2360 Stony Brook Dr
Louisville, KY 40220-4018
Phone (502) 446-5462

2811 Holmans LN
Jeffersonville, IN 47130-5915
Phone (812) 280-5314

630 N Broadway St
Madison, IN 47250-7328
Phone (812) 801-0995

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5046PKYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Family CurrentSince Mar 18, 2019 Accepting new patients
Community Medical Associates, Inc. CurrentSince Feb 1, 2019 Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
Community Medical Associates, Inc. Family Current Accepting new patients
Community Medical Associates, Inc. CurrentSince Feb 1, 2019 Accepting new patients
Community Medical Associates, Inc. Past Accepting new patients

Locations

2051 Clevidence Blvd
Clarksville, IN 47129
Phone (812) 280-6650

220 E Lewis and Clark Pkwy
Clarksville, IN 47129
Phone (812) 280-5315

1373 E State Road 62
#6F
Madison, IN 47250
Phone (502) 629-7181

5100 Dixie Hwy
Louisville, KY 40216
Phone (502) 446-5460

2360 Stony Brook Dr
Louisville, KY 40220
Phone (502) 446-5462

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

Interoperability endpoints

  • Direct secure messaging: bkestler154004@direct.nortonhealthcare.org

Organizations & group practices 6

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": "1186617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1164613568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 STONY BROOK DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402204018",
            "telephone_number": "502-446-5462",
            "fax_number": "502-394-3670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESTLER",
        "first_name": "BEVERLY",
        "middle_name": "A.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-09",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "5046P",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3005046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100074150",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bkestler154004@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "2360 Stony Brook Dr",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402204018",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "2360 Stony Brook Dr",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402204018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.