NPIMap

Individual provider Active NPI

Elsa Joseph

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1255724332
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1108384 Issued in KY
Practice address
200 E Chestnut St BLDG Suite303
Louisville, KY 40202-1831
Phone
(502) 629-5552
Fax
(502) 629-3132
NPI assigned
Mar 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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 1108384 KY Primary

Addresses

Primary practice location

200 E Chestnut St BLDG Suite303
Louisville, KY 40202-1831

Mailing address

PO Box 776351
Chicago, IL 60677-3405
Phone (502) 588-9490

Other practice location 1

3315 Indian Lake Dr
Louisville, KY 40241-3405
Phone (502) 212-9960

Other identifiers 3

IdentifierTypeStateIssuer
300024161MedicaidIN
7100373000MedicaidKY
K157193OtherKYMEDICARE

Other names 1

  • Elsy Joseph Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ejoseph39160@direct.nortonhealthcare.org
FHIR URL https://epicsoap.nortonhealthcare.org/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150810001156 KY Practitioner - Nurse Practitioner 5496069189 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians

Practice addresses (Care Compare)

825 Barret Ave
Louisville, KY 40204-1743
Phone (502) 272-5165

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1108384KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Family CurrentSince Mar 1, 2018 Accepting new patients
Commonwealth of Kentucky CurrentSince Aug 18, 2016 Accepting new patients
Commonwealth of Kentucky CurrentSince Aug 18, 2016 Accepting new patients
Community Medical Associates, Inc. CurrentSince Mar 1, 2018 Accepting new patients

Locations

1800 Bluegrass Ave
Louisville, KY 40215
Phone (502) 361-2301

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

200 E Chestnut St
Ste 303
Louisville, KY 40202
Phone (502) 629-5552

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 14

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

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1426118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1255724332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606773405",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E CHESTNUT ST BLDG SUITE303",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021831",
            "telephone_number": "502-629-5552",
            "fax_number": "502-629-3132"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3315 Indian Lake Dr",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402413405",
            "country_code": "US",
            "telephone_number": "502-212-9960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "ELSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-12",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "1108384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300024161",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100373000",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "K157193",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ejoseph39160@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "3315 Indian Lake Dr",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402413405",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/",
            "affiliation": "N",
            "address_1": "3315 Indian Lake Dr",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402413405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ELSY",
            "last_name": "JOSEPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.