Individual provider Active NPI

Cheryl Vinson, APRN

  • Nurse Practitioner
  • Paducah, KY
National Provider Identifier
1164964870
Registry record updated Apr 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3010835 Issued in KY
Practice address
1532 Lone Oak Rd Ste 320
Paducah, KY 42003-7942
Phone
(704) 153-8302
Fax
(270) 415-3831
NPI assigned
Nov 11, 2016
Last updated
Apr 10, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3010835 KY Primary

Addresses

Primary practice location

1532 Lone Oak Rd Ste 320
Paducah, KY 42003-7942

Mailing address

2200 Jefferson Ave
5TH Floor Mercy Pho/Cvo
Toledo, OH 43604-7101

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
I20170104002122 KY Practitioner - Nurse Practitioner 7810278942 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trigg County Hospital, IncGroup PAC ID 5193620805, 33 clinicians

Practice addresses (Care Compare)

214 Main St
Cadiz, KY 42211-9153
Phone (270) 522-0898

254 Main St
Cadiz, KY 42211-9153
Phone (270) 522-3215

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3010835KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Kentucky Specialty Care LLC CurrentSince Sep 1, 2020 Accepting new patients
Hospital Medicine Services of Tennessee PC Nurse Practitioner CurrentSince Aug 26, 2017 Accepting new patients
Trigg County Hospital, Inc Nurse Practitioner CurrentSince Apr 16, 2024 Accepting new patients
Trigg County Hospital, Inc CurrentSince Apr 16, 2024 Accepting new patients
Mercy Health Physicians Kentucky Specialty Care LLC Nurse Practitioner CurrentSince Sep 1, 2020 Accepting new patients

Locations

254 Main St
Cadiz, KY 42211
Phone (270) 522-3215

1099 Medical Center Cir
Mayfield, KY 42066
Phone (270) 251-4100

1530 Lone Oak Rd
Paducah, KY 42003
Phone (270) 444-2444

1532 Lone Oak Rd
Ste 245
Paducah, KY 42003
Phone (270) 538-5537

1532 Lone Oak Rd
Ste 320
Paducah, KY 42003
Phone (270) 415-3830

360 Amsden Ave
Versailles, KY 40383
Phone (606) 873-3111

Organizations & group practices 5

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 2

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": "1478822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523318400000",
    "number": "1164964870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 JEFFERSON AVE",
            "address_2": "5TH FLOOR MERCY PHO/CVO",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436047101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1532 LONE OAK RD STE 320",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420037942",
            "telephone_number": "704-153-8302",
            "fax_number": "270-415-3831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINSON",
        "first_name": "CHERYL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-11",
        "last_updated": "2018-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3010835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.