Individual provider Active NPI

Nancy McKinnon, APRN

  • Family Nurse Practitioner
  • Erlanger, KY
National Provider Identifier
1245847623
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3015030 Issued in KY
Practice address
1360 Dolwick Dr
Erlanger, KY 41018-3127
Phone
(800) 737-7900
Fax
(859) 655-2320
NPI assigned
Sep 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3015030 KY
Nurse Practitioner 363L00000X 71013874A IN
Family Nurse Practitioner 363LF0000X APRN.CNP.0027438 OH
Family Nurse Practitioner 363LF0000X 3015030 KY Primary

Addresses

Primary practice location

1360 Dolwick Dr
Erlanger, KY 41018-3127

Mailing address

2620 Elm Hill Pike
Nashville, TN 37214-3108

Other practice location 1

7685 Mall Rd
Florence, KY 41042-1403
Phone (859) 795-5840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 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
I20201022003590 OH Practitioner - Nurse Practitioner 0840610259 Reassigns benefits to 1 organization
I20201023000519 KY Practitioner - Nurse Practitioner 0840610259 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summit Medical Group IncGroup PAC ID 2163326240, 803 clinicians

Practice addresses (Care Compare)

1360 Dolwick Dr
Erlanger, KY 41018-3127
Phone (800) 737-7900

Hospital & facility affiliations

  • St Elizabeth Edgewood Hospital, Edgewood, KY, CCN 180035
  • St Elizabeth Florence Hospital, Florence, KY, CCN 180045

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71013874AINMDNurse Practitioner
APRN.CNP.0027438OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kiosk Medicine Kentucky LLC Family CurrentSince Oct 20, 2020 Accepting new patients
Summit Medical Group, Inc. CurrentSince Feb 27, 2023 Accepting new patients
The Little Clinic of Ohio LLC Family CurrentSince Oct 20, 2020 Accepting new patients
Summit Medical Group, Inc Nurse Practitioner Current Accepting new patients
Summit Medical Group, Inc. Nurse Practitioner CurrentSince Feb 27, 2023 Accepting new patients

Locations

1360 Dolwick Dr
Erlanger, KY 41018
Phone (800) 737-7900

7685 Mall Rd
Florence, KY 41042
Phone (859) 795-5820

1980 Litton Ln
Hebron, KY 41048
Phone (859) 334-8700

3039 Breckenridge Ln
Louisville, KY 40220
Phone (502) 451-4555

300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217

199 Graceland Blvd
Columbus, OH 43214
Phone (614) 410-2814

210 Sterling Run Blvd
Mount Orab, OH 45154
Phone (937) 444-5014

Organizations & group practices 5

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 2

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": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1245847623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 ELM HILL PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 DOLWICK DR",
            "city": "ERLANGER",
            "state": "KY",
            "postal_code": "410183127",
            "telephone_number": "800-737-7900",
            "fax_number": "859-655-2320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7685 Mall Rd",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "KY",
            "postal_code": "410421403",
            "country_code": "US",
            "telephone_number": "859-795-5840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKINNON",
        "first_name": "NANCY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-29",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3015030",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71013874A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0027438",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3015030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erlanger, KY

Sources for this page

Verify at the official NPI Registry.