Individual provider Active NPI

William Ray Hedrick III, APRN

  • Nurse Practitioner
  • Pikeville, KY
National Provider Identifier
1194175646
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3010391 Issued in KY
Practice address
911 Bypass Rd BLDG a
Pikeville, KY 41501-1689
Phone
(606) 430-2206
Fax
(606) 218-7506
NPI assigned
Jun 15, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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 3010391 KY
Nurse Practitioner 363L00000X 3010391 KY Primary

Addresses

Primary practice location

911 Bypass Rd BLDG a
Pikeville, KY 41501-1689

Mailing address

PO Box 432
Pikeville, KY 41502-0432
Phone (606) 430-2206

Other practice location 1

130 Kate Ireland Dr
Hyden, KY 41749-9071
Phone (606) 672-2901

Other practice location 2

260 Hospital Dr
South Williamson, KY 41503-4072
Phone (606) 237-1700

Other practice location 3

240 Hospital Rd
Whitesburg, KY 41858-7627
Phone (606) 633-3500

Other practice location 4

9879 KY Hwy 122
McDowell, KY 41647
Phone (606) 377-3400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address whedrick21959@PIKEVILLEKYDIRECT.ORG Direct

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
I20160805001814 KY Practitioner - Nurse Practitioner 9638083017 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.26 of 100Reported as group
Quality
83.59
Improvement activities
40
Cost
90.93

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Williamson Emergency Physicians LLC Nurse Practitioner CurrentSince Apr 23, 2019 Accepting new patients
Concord Medical Group of Kentucky PLLC Nurse Practitioner CurrentSince Jul 1, 2025 Accepting new patients
Beaver Creek Emergency Group LLC Nurse Practitioner CurrentSince Mar 7, 2020 Accepting new patients
Southern Medical Partners, LLC Nurse Practitioner CurrentSince Oct 15, 2018 Accepting new patients
Green Valley Emergency Physicians, LLC Nurse Practitioner CurrentSince Apr 1, 2025 Accepting new patients
Hyden Emergency Physicians, LLC Nurse Practitioner CurrentSince Oct 15, 2022 Accepting new patients
Pikeville Medical Center Inc Past Accepting new patients

Locations

1700 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

100 Medical Dr
Hazard, KY 41701
Phone (606) 439-6600

130 Kate Ireland Dr
Hyden, KY 41749
Phone (606) 672-2341

210 Marie Langdon Dr
Manchester, KY 40962
Phone (865) 985-7047

11203 Main St
Martin, KY 41649
Phone (606) 285-5181

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

260 Hospital Dr
South Williamson, KY 41503
Phone (606) 237-1700

240 Hospital Rd
Whitesburg, KY 41858
Phone (606) 633-3500

Interoperability endpoints

  • Direct secure messaging: whedrick21959@pikevillekydirect.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1194175646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 432",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415020432",
            "telephone_number": "606-430-2206",
            "fax_number": "606-218-7506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 BYPASS RD BLDG A",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011689",
            "telephone_number": "606-430-2206",
            "fax_number": "606-218-7506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Kate Ireland Dr",
            "address_purpose": "LOCATION",
            "city": "Hyden",
            "state": "KY",
            "postal_code": "417499071",
            "country_code": "US",
            "telephone_number": "606-672-2901",
            "fax_number": "606-672-3626",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "260 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "South Williamson",
            "state": "KY",
            "postal_code": "415034072",
            "country_code": "US",
            "telephone_number": "606-237-1700",
            "fax_number": "606-237-1727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "240 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Whitesburg",
            "state": "KY",
            "postal_code": "418587627",
            "country_code": "US",
            "telephone_number": "606-633-3500",
            "fax_number": "606-633-3652",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9879 KY Hwy 122",
            "address_purpose": "LOCATION",
            "city": "McDowell",
            "state": "KY",
            "postal_code": "41647",
            "country_code": "US",
            "telephone_number": "606-377-3400",
            "fax_number": "606-377-3492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEDRICK",
        "first_name": "WILLIAM",
        "middle_name": "RAY",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-15",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3010391",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3010391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "whedrick21959@PIKEVILLEKYDIRECT.ORG",
            "affiliation": "N",
            "endpointDescription": "Direct address for ccda",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Standard direct functionality",
            "address_1": "911 Bypass Rd Bldg A",
            "city": "Pikeville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "415011689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pikeville, KY

Sources for this page

Verify at the official NPI Registry.