Nichole Ray, DNP, MSN/MHA, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Smithfield, KY
NPI 1194280180 · NPPES record last updated Feb 5, 2019
Key facts
- NPI
- 1194280180
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 3012902 (KY)
- Practice address
- 3701 Ballard Vista CT
Smithfield, KY 40068-9320 - Phone
- (502) 702-1100
- NPI assigned
- Feb 5, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.96 of 100
- Quality
- 56.12
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.73
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3012902 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Louisville Physicians, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3012902 | KY | Yes |
Addresses
Primary practice location
3701 Ballard Vista CT
Smithfield, KY 40068-9320
Mailing address
3701 Ballard Vista CT
Smithfield, KY 40068-9320
Phone (502) 702-1100
Other providers in Smithfield, KY
- Jeannine Marie Buhse
- Carol Terese Cornett
- Doctors Office 2 U
- Mobile Healthcare, PLLC
- Sarah Pendergest
- Lora J Theiss
All providers in Smithfield, 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 Feb 5, 2019. 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.