Rebecca Ellen Barnes
Individual provider Active NPI Women's Health Nurse Practitioner · Louisville, KY
NPI 1285437301 · NPPES record last updated Apr 1, 2025
Key facts
- NPI
- 1285437301
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Women's Health Nurse Practitioner 363LW0102X
- License
- 4035681 (KY)
- Practice address
- 3015 Wilson Ave
Louisville, KY 40211-1969 - Phone
- (502) 774-4401
- NPI assigned
- Apr 1, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Park Duvalle Community Health Center, Inc
Practice addresses (Care Compare)
3015 Wilson Ave
Louisville, KY 40211-1969
Phone 50277444011509
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250414000995 | KY | Practitioner - Nurse Practitioner | 8729502547 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4035681 | KY | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Park Duvalle Community Health Center, Inc | Current |
Accepting new patients | |
| Park Duvalle Community Health Center, Inc. | Current | Accepting new patients | |
| Park Duvalle Community Health Center, Inc. | Current | Accepting new patients | |
| Park Duvalle Community Health Center, Inc | Current |
Accepting new patients |
Locations
3015 Wilson Ave
Louisville, KY 40211
Phone (502) 774-4401
1425 W Broadway
Louisville, KY 40203
Phone (502) 245-0002
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 4035681 | KY | Yes |
Addresses
Primary practice location
3015 Wilson Ave
Louisville, KY 40211-1969
Mailing address
3015 Wilson Ave
Louisville, KY 40211-1969
Phone (502) 774-4401
Other providers in Louisville, KY
- Lorene Barnes
- Lunden Anne Barnes
- Margaret Barnes
- Matthew Keith Barnes
- Megan Barnes
- Richard Tony Barnes
- Suzanne Barnes
- Tracy A Barnes
- Tyler Anthony Barnes
- Allisyn Barnett
All providers in Louisville, KY · Women's Health Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.