Kenneth D Morrison, PA-C

Key facts

NPI

1205487170

Entity type

Individual (NPI type 1)

Primary specialty

Physician Assistant 363A00000X

License

TC862 (KY)

Practice address

225 Executive Park
Louisville, KY 40207-4202

Phone

(502) 855-7200

Fax

(502) 855-7201

NPI assigned

Sep 23, 2019

Sex

Male

Sole proprietor

No

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 and National Provider Directory roles.

• Baptist Health Medical Group Inc Urgent Care Clinic/Center · Louisville, KY · NPI 1508269200
  Medicare reassignment NPD IN · PHYSICIAN ASSISTANT
• Commonwealth Pain Associates, PLLC Interventional Pain Medicine Physician · Louisville, KY · NPI 1306280177
  Medicare reassignment NPD KY · PHYSICIAN ASSISTANT
• Baptist Health Medical Group Inc Rural Health Clinic/Center · Dawson Springs, KY · NPI 1982178216
  Medicare reassignment KY
• Community Medical Associates, Inc. Multi-Specialty Clinic/Center · Louisville, KY · NPI 1306983762
  Medicare reassignment KY
• Baptist Health Medical Group Inc Rural Health Clinic/Center · Lawrenceburg, KY · NPI 1487300331
  NPD
• Commonwealth Pain Associates PLLC Durable Medical Equipment & Medical Supplies · Paducah, KY · NPI 1114753720
  NPD
• Community Medical Associates, Inc. Family Medicine Physician · Louisville, KY · NPI 1316305329
  NPD
• Community Medical Associates, Inc. Internal Medicine Physician · Louisville, KY · NPI 1881192409
  NPD
• Baptist Health Medical Group Inc Rural Health Clinic/Center · Scottsburg, IN · NPI 1467057042
  NPD

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Healthcare System, Inc. General Acute Care Hospital · New Albany, IN · NPI 1497798847
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baptist Health Medical Group Inc (2,431 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Health Floyd Hospital · New Albany, IN · CCN 150044

Merit-based Incentive Payment System (MIPS)

Final score

94.29 of 100 (apm)

Quality

87.32

Promoting interoperability

100

Improvement activities

40

Medicare participation

Medicare fee-for-service enrollment

Enrolled (2 enrollments) in KY, IN

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Physician Assistant

Practice roles

Locations

Specialties & licenses

Addresses

Other identifiers

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 12, 2021.

{
    "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": "300040508",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100631240",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER ID",
            "identifier": "14556232",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE PROVIDER ID NUMBER",
            "identifier": "CS2027500153",
            "state": null
        }
    ],
    "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

• Terry Morris, SLP
• Yvonne A. Ellis Morris IX, M.D.
• Christine Elizabeth Morrison, MSN, APRN, FNP-BC
• Hannah Morrison, PMHNP-BC
• James Jason Morrison, APRN
• Priscilla Ann Morrison, CRNA
• Shanelle Morrison
• Damian Morriston, PA-C
• Morrow Clinical Mental Health Counseling
• Kenneth G Morrow, LCSW, LISW

All providers in Louisville, KY · Physician Assistant in Kentucky