Ruby Bishop
Individual provider Active NPI Family Nurse Practitioner · Mount Vernon, KY
NPI 1194107342 · NPPES record last updated Jun 24, 2015
Key facts
- NPI
- 1194107342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 3009484 (KY)
- Practice address
- 116 Progress Dr
Mount Vernon, KY 40456-8590 - Phone
- (606) 256-2143
- Fax
- (606) 256-9762
- NPI assigned
- Jun 24, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Health Help Incorporated
Practice addresses (Care Compare)
116 Progress Dr
Mount Vernon, KY 40456-8590
Phone (606) 256-2143
Hospital & facility affiliations
- Lifeline Rockcastle Home Health
- Rockcastle County Hospital, Inc.
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 |
|---|---|---|---|---|
| I20150727000946 | KY | Practitioner - Nurse Practitioner | 6406160092 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3009484 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Help Incorporated | Current | Accepting new patients | |
| Health Help Incorporated | Current | Accepting new patients | |
| Health Help Incorporated | Current | Accepting new patients | |
| Health Help Incorporated | Current | Accepting new patients | |
| Health Help Incorporated | Current |
Accepting new patients | |
| Health Help Incorporated | Current | Accepting new patients | |
| Health Help Incorporated | Current |
Accepting new patients |
Locations
305 Estill St
Berea, KY 40403
Phone (859) 986-1415
104 Legacy Dr
Berea, KY 40403
Phone (858) 986-2323
202 Kidd Dr
Berea, KY 40403
Phone (859) 986-1548
30 Stacy Lane Rd
Irvine, KY 40336
Phone (606) 723-0665
1010 Main St S
McKee, KY 40447
Phone (606) 287-7104
116 Progress Dr
Mount Vernon, KY 40456
Phone (606) 256-2143
480 Main St
Paint Lick, KY 40461
Phone (859) 925-2444
401 Highland Park Dr
Richmond, KY 40475
Phone (859) 626-7700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3009484 | KY | Yes |
Addresses
Primary practice location
116 Progress Dr
Mount Vernon, KY 40456-8590
Mailing address
1010 Main St S
MC Kee, KY 40447-7089
Phone (859) 626-7700
Other providers in Mount Vernon, KY
- Associates in Dentistry LLC
- William Bakhos
- Jamie Nicole Bell
- Gavin Isaac Betsworth
- BH Imaging Consulting PLLC
- Teresa Blair
- Jessica Boggs
- Debora Kaye Bowles
- David Lawrence Brabon
- Lisa Lee Brock
All providers in Mount Vernon, 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 24, 2015. 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.