Individual provider Active NPI

Kenneth D Morrison, PA-C

  • Physician Assistant
  • Louisville, KY
National Provider Identifier
1205487170
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
TC862 Issued in KY
Practice address
225 Executive Park
Louisville, KY 40207-4202
Phone
(502) 855-7200
Fax
(502) 855-7201
NPI assigned
Sep 23, 2019
Last updated
Jan 12, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X TC862 KY Primary

Addresses

Primary practice location

225 Executive Park
Louisville, KY 40207-4202

Mailing address

223 Executive Park
Louisville, KY 40207-4202
Phone (502) 907-0356

Other practice location 1

1107 Crown Pointe Dr Ste 39
Elizabethtown, KY 42701-7123
Phone (270) 506-3300

Other identifiers 6

IdentifierTypeStateIssuer
PDZ000000419794OtherAETNA BETTER HEALTH OF KY PROVIDER ID NUMBER
000001400660OtherANTHEM PROVIDER ID
7100631240MedicaidKY
CS2027500153OtherCARESOURCE PROVIDER ID NUMBER
14556232OtherCAQH PROVIDER ID
300040508MedicaidIN

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/
Direct Messaging Address kmorrison168056@direct.nortonhealthcare.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191126003279 KY Practitioner - Physician Assistant 3971936279 Reassigns benefits to 3 organizations
I20211207001556 IN Practitioner - Physician Assistant 3971936279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

2400 Eastpoint Pkwy
Louisville, KY 40223-4154

3900 Kresge Way
Louisville, KY 40207-4681

800 Highlander Point Dr
Suite 103
Floyds Knobs, IN 47119-9465
Phone (812) 542-4921

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Pain Associates PLLC CurrentSince Aug 1, 2020 Accepting new patients
Commonwealth Pain Associates, PLLC Physician Assistant CurrentSince Aug 1, 2020 Accepting new patients
Community Medical Associates, Inc. CurrentSince Nov 1, 2019 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Dec 1, 2021 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Nov 4, 2025 Accepting new patients
Baptist Health Medical Group Inc Physician Assistant Current Accepting new patients
Community Medical Associates, Inc. CurrentSince Nov 1, 2019 Accepting new patients

Locations

800 Highlander Point Dr
Ste 103
Floyds Knobs, IN 47119
Phone (800) 434-5482

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

5130 Charlestown Rd
Ste 2
New Albany, IN 47150
Phone (812) 949-1577

96 Future Dr
Corbin, KY 40701

223 Executive Park
Louisville, KY 40207

225 Executive Park
Louisville, KY 40207
Phone (502) 373-0486

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

9300 Stonestreet Rd
Ste 200
Louisville, KY 40272
Phone (502) 935-8061

120 Executive Park
St Matthews, KY 40207
Phone (502) 409-9925

Interoperability endpoints

  • Direct secure messaging: kmorrison168056@direct.nortonhealthcare.org

Organizations & group practices 9

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 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": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1205487170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 EXECUTIVE PARK",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074202",
            "telephone_number": "502-907-0356",
            "fax_number": "502-919-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 EXECUTIVE PARK",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074202",
            "telephone_number": "502-855-7200",
            "fax_number": "502-855-7201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1107 Crown Pointe Dr Ste 39",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "KY",
            "postal_code": "427017123",
            "country_code": "US",
            "telephone_number": "270-506-3300",
            "fax_number": "270-506-2843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORRISON",
        "first_name": "KENNETH",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-23",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "TC862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA BETTER HEALTH OF KY PROVIDER ID NUMBER",
            "identifier": "PDZ000000419794",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER ID",
            "identifier": "000001400660",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100631240",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE PROVIDER ID NUMBER",
            "identifier": "CS2027500153",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER ID",
            "identifier": "14556232",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300040508",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "9300 Stonestreet Rd Ste 200",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402722894",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmorrison168056@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "9300 Stonestreet Rd Ste 200",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402722894",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.