Individual provider Active NPI

Melinda Nightingale, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Madisonville, KY
National Provider Identifier
1255961827
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3014222 Issued in KY
Practice address
200 Clinic Dr
Madisonville, KY 42431-1661
Phone
(270) 821-8874
Fax
(270) 821-8883
NPI assigned
Jan 22, 2020
Last updated
Jan 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3014222 KY Primary

Addresses

Primary practice location

200 Clinic Dr
Madisonville, KY 42431-1661

Mailing address

PO Box 614
Hopkinsville, KY 42241-0614
Phone (270) 886-2205

Other practice location 1

506 Hopkinsville St
Greenville, KY 42345-1104
Phone (270) 338-5211

Other practice location 2

1350 US Highway 62 W
Princeton, KY 42445-6106
Phone (270) 365-2008

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
I20200225001593 KY Practitioner - Nurse Practitioner 8921435348 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
A New Start Primary Care LLCGroup PAC ID 8123362779, 10 clinicians

Practice addresses (Care Compare)

224 Phillip Stone Way
Central City, KY 42330-1929
Phone (270) 757-2202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
A New Start Primary Care LLC CurrentSince Sep 4, 2020 Accepting new patients
A New Start II, LLC CurrentSince Oct 1, 2020 Accepting new patients

Locations

222 Phillip Stone Way
Central City, KY 42330
Phone (270) 754-3494

224 Phillip Stone Way
Central City, KY 42330
Phone (270) 757-2202

Interoperability endpoints

  • Direct secure messaging: carenowatanewstart.melindanightingale@141024.advancedmd-direct.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1255961827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 614",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422410614",
            "telephone_number": "270-886-2205",
            "fax_number": "270-886-0392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CLINIC DR",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424311661",
            "telephone_number": "270-821-8874",
            "fax_number": "270-821-8883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "506 Hopkinsville St",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "KY",
            "postal_code": "423451104",
            "country_code": "US",
            "telephone_number": "270-338-5211",
            "fax_number": "270-338-1624",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1350 US Highway 62 W",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "KY",
            "postal_code": "424456106",
            "country_code": "US",
            "telephone_number": "270-365-2008",
            "fax_number": "270-365-2009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIGHTINGALE",
        "first_name": "MELINDA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-22",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3014222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madisonville, KY

Sources for this page

Verify at the official NPI Registry.