Individual provider Active NPI

Christa Monroe, NP

  • Nurse Practitioner
  • Mayfield, KY
National Provider Identifier
1194768226
Registry record updated Dec 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3004489 Issued in KY
Practice address
1099 Medical Center Cir
Mayfield, KY 42066-1159
Phone
(800) 893-9698
NPI assigned
Jun 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 4489P KY
Nurse Practitioner 363L00000X 3004489 KY Primary

Addresses

Primary practice location

1099 Medical Center Cir
Mayfield, KY 42066-1159

Mailing address

76 Old Penny Rd
Hardin, KY 42048-9613
Phone (270) 293-7547

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
I20060822000401 KY Practitioner - Nurse Practitioner 6002819513 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians

Practice addresses (Care Compare)

1099 Medical Ctr Cir
Mayfield, KY 42066-1179
Phone (270) 251-4100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.68 of 100Reported as group
Improvement activities
40
Cost
74.85

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4489PKYMDEmergency Medicine Physician
3004489KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Sep 1, 2021 Accepting new patients
Green Valley Emergency Physicians, LLC Emergency Medicine CurrentSince Oct 1, 2024 Accepting new patients
Southeastern Emergency Services P C Nurse Practitioner CurrentSince Jan 16, 2014 Accepting new patients

Locations

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

60 Mercy Ct
Irvine, KY 40336
Phone (606) 723-2115

150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773

310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612

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

803 Poplar St
Murray, KY 42071
Phone (270) 762-1155

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

625 James Trimble Blvd
Paintsville, KY 41240

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449705600000",
    "number": "1194768226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 OLD PENNY RD",
            "city": "HARDIN",
            "state": "KY",
            "postal_code": "420489613",
            "telephone_number": "270-293-7547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 MEDICAL CENTER CIR",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420661159",
            "telephone_number": "800-893-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONROE",
        "first_name": "CHRISTA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2015-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "4489P",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3004489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayfield, KY

Sources for this page

Verify at the official NPI Registry.