Individual provider Active NPI

Melissa Grace Webster, APRN

  • Family Nurse Practitioner
  • Radcliff, KY
National Provider Identifier
1245974419
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3017677 Issued in KY
Practice address
1679 N Wilson Rd Ste 110
Radcliff, KY 40160-1569
Phone
(270) 272-0000
NPI assigned
Apr 25, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3017677 KY Primary

Addresses

Primary practice location

1679 N Wilson Rd Ste 110
Radcliff, KY 40160-1569

Mailing address

103 Iowa CT
Elizabethtown, KY 42701-2971
Phone (270) 401-9984

Other identifiers 1

IdentifierTypeStateIssuer
7100814000MedicaidKY

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
I20220518001207 KY Practitioner - Nurse Practitioner 7113304866 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, shared by 31 NPIs, 2,431 clinicians

Practice addresses (Care Compare)

1679 N Wilson Rd
Suite 110
Radcliff, KY 40160-1569
Phone (270) 272-0000

2400 Eastpoint Pkwy
Suite 100
Louisville, KY 40223-4154
Phone (502) 210-4800

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Jan 16, 2024 Accepting new patients
Baptist Health Medical Group Inc CurrentSince May 1, 2022 Accepting new patients
Baptist Health Medical Group Inc Family Medicine Current Accepting new patients
Baptist Health Medical Group Inc CurrentSince May 1, 2022 Accepting new patients

Locations

96 Future Dr
Corbin, KY 40701

14949 N US Highway 25 E
Ste 4
Corbin, KY 40701

2400 Eastpoint Pkwy
Ste 100
Louisville, KY 40223
Phone (502) 210-4700

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

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

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

1679 N Wilson Rd
Ste 110
Radcliff, KY 40160
Phone (270) 272-0000

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

Organizations & group practices 4

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 3

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": "1650844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1245974419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 IOWA CT",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012971",
            "telephone_number": "270-401-9984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1679 N WILSON RD STE 110",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "401601569",
            "telephone_number": "270-272-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBSTER",
        "first_name": "MELISSA",
        "middle_name": "GRACE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-25",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3017677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100814000",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Radcliff, KY

Sources for this page

Verify at the official NPI Registry.