Individual provider Active NPI

Greta Bakanowski, APRN

  • Family Nurse Practitioner
  • Mechanicsville, VA
National Provider Identifier
1245744960
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3011745 Issued in KY
Practice address
8200 Meadowbridge Rd Ste 100
Mechanicsville, VA 23116-2337
Phone
(804) 559-7467
NPI assigned
Nov 17, 2017
Last updated
Jan 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71007767A IN
Nurse Practitioner 363L00000X 0024178628 VA
Family Nurse Practitioner 363LF0000X 3011745 KY Primary

Addresses

Primary practice location

8200 Meadowbridge Rd Ste 100
Mechanicsville, VA 23116-2337

Mailing address

1115 Boulders Pkwy Ste 200
North Chesterfield, VA 23225-4067
Phone (804) 915-4607

Other practice location 1

5533 New Cut Rd
Louisville, KY 40214-4329
Phone (502) 364-2770

Other practice location 2

834 E Broadway
Louisville, KY 40204-1072
Phone (502) 774-8631

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gbakanowski27715@direct.orthovirginia.com Other

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
I20180504000119 KY Practitioner - Nurse Practitioner 8729341177 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians
Family Health Centers IncGroup PAC ID 6901700053, shared by 11 NPIs, 51 clinicians

Practice addresses (Care Compare)

1009 N Mulberry St
Elizabethtown, KY 42701-2036
Phone (270) 979-7109

834 E Broadway
Louisville, KY 40204-1072
Phone (502) 583-1981

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3011745KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shawnee Christian Healthcare Center Inc CurrentSince Nov 2, 2021 Accepting new patients
Family Health Centers, Inc. Current Accepting new patients
Family Health Centers, Inc. Current Accepting new patients
Family Health Centers, Inc. CurrentSince Apr 8, 2024 Accepting new patients
Family Health Centers, Inc. Current Accepting new patients
Shawnee Christian Healthcare Center Inc CurrentSince Nov 2, 2021 Accepting new patients
Family Health Centers, Inc. CurrentSince Apr 8, 2024 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Feb 16, 2023 Accepting new patients
Family Health Centers, Inc. Current Accepting new patients
Baptist Health Medical Group Inc CurrentSince Feb 16, 2023 Accepting new patients
Family Health Centers, Inc. Past Accepting new patients
Verna Dority, MSW, CCSW, Inc PastSince Oct 1, 2014 Accepting new patients
Family Health Centers, Inc. Past Accepting new patients
Family Health Centers, Inc. Past Accepting new patients
Family Health Centers Inc Past Accepting new patients

Locations

96 Future Dr
Corbin, KY 40701

1009 N Mulberry St
Elizabethtown, KY 42701
Phone (270) 979-7109

1000 Neighborhood Pl
Fairdale, KY 40118
Phone (502) 361-2381

120 W Broadway
Louisville, KY 40202
Phone (502) 772-8662

2215 Portland Ave
Louisville, KY 40212
Phone (502) 774-8631

234 Amy Ave
Louisville, KY 40212
Phone (502) 778-0001

2500 W Market St
Louisville, KY 40212
Phone (502) 778-8400

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

4100 Taylor Blvd
Louisville, KY 40215
Phone (502) 361-2381

4112 Taylor Blvd
Louisville, KY 40215
Phone (502) 366-4747

4615 Taylor Blvd
Louisville, KY 40215
Phone (502) 366-4747

4803 Southside Dr
Louisville, KY 40214
Phone (502) 363-8606

4805 Southside Dr
Louisville, KY 40214
Phone (502) 772-8860

712 E Muhammad Ali Blvd
Louisville, KY 40202
Phone (502) 568-6972

834 E Broadway
Louisville, KY 40204
Phone (502) 583-1981

648 University Shopping Ctr
Richmond, KY 40475
Phone (859) 623-1950

Interoperability endpoints

  • Direct secure messaging: gbakanowski27715@direct.orthovirginia.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 15

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.

View all 15

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": "1510876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1245744960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 BOULDERS PKWY STE 200",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232254067",
            "telephone_number": "804-915-4607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 MEADOWBRIDGE RD STE 100",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231162337",
            "telephone_number": "804-559-7467"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5533 New Cut Rd",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402144329",
            "country_code": "US",
            "telephone_number": "502-364-2770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "834 E Broadway",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402041072",
            "country_code": "US",
            "telephone_number": "502-774-8631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKANOWSKI",
        "first_name": "GRETA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-17",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71007767A",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024178628",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3011745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gbakanowski27715@direct.orthovirginia.com",
            "affiliation": "N",
            "endpointDescription": "Dr. Bakanowski direct address",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "secure messaging",
            "address_1": "8200 Meadowbridge Rd Ste 100",
            "city": "Mechanicsville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "231162337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mechanicsville, VA

Sources for this page

Verify at the official NPI Registry.