Active NPI
Kenneth D Morrison, PA-C
- Physician Assistant
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- TC862
- 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, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PDZ000000419794 | Other | AETNA BETTER HEALTH OF KY PROVIDER ID NUMBER | |
| 000001400660 | Other | ANTHEM PROVIDER ID | |
| 7100631240 | Medicaid | KY | |
| CS2027500153 | Other | CARESOURCE PROVIDER ID NUMBER | |
| 14556232 | Other | CAQH PROVIDER ID | |
| 300040508 | Medicaid | IN |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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 100
- Quality
- 87.32
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonwealth Pain Associates PLLC | Current | Accepting new patients | |
| Commonwealth Pain Associates, PLLC | Physician Assistant | Current | Accepting new patients |
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Physician Assistant | Current | Accepting new patients |
| Community Medical Associates, Inc. | Current | 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
- 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.
-
- Urgent Care Clinic/Center
- Louisville, KY
- NPI 1508269200
IN, Physician Assistant
-
dba Commonwealth Pain and Spine
- Interventional Pain Medicine Physician
- Louisville, KY
- NPI 1306280177
Physician Assistant
-
dba Dawson Springs Rural Health Clinic
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
-
- Multi-Specialty Clinic/Center
- Louisville, KY
- NPI 1306983762
-
- Rural Health Clinic/Center
- Lawrenceburg, KY
- NPI 1487300331
-
dba Commonwealth Pain And Spine
- Durable Medical Equipment & Medical Supplies
- Paducah, KY
- NPI 1114753720
-
dba Norton Audubon Wound Care Center
- Family Medicine Physician
- Louisville, KY
- NPI 1316305329
-
dba Norton Community Medical Associates
- Internal Medicine Physician
- Louisville, KY
- NPI 1881192409
-
- Rural Health Clinic/Center
- Scottsburg, IN
- NPI 1467057042
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Health Floyd
- General Acute Care Hospital
- New Albany, IN
- NPI 1497798847
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
- 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 (Morrow Clinical Mentalh Health Counseling)
- Kenneth G Morrow, LCSW, LISW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.