Amy Alexander, APRN
Individual provider Active NPI Nurse Practitioner · Louisville, KY
NPI 1295083517 · NPPES record last updated Jun 24, 2015
Key facts
- NPI
- 1295083517
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 71004079A (IN)
- Practice address
- 716 W Broadway
Louisville, KY 40202-2216 - Phone
- (502) 595-7744
- Fax
- (502) 595-7007
- NPI assigned
- Aug 16, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 22
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kidney Care Consultants PSC
Practice addresses (Care Compare)
207 Sparks Ave
Jeffersonville, IN 47130-3739
Phone (502) 595-7744
716 W Broadway
Louisville, KY 40202-2216
Phone (502) 425-9121
Hospital & facility affiliations
- UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IN, KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140918001633 | IN | Practitioner - Nurse Practitioner | 6406075795 | Reassigns benefits to 1 organization |
| I20141118000976 | KY | Practitioner - Nurse Practitioner | 6406075795 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1113681 | KY | MD | Registered Nurse |
| 71004079A | IN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidney Care Consultants, PSC | Nurse Practitioner | Current |
Accepting new patients |
Locations
313 Federal Dr NW
Ste 10
Corydon, IN 47112
Phone (502) 937-2209
207 Sparks Ave
Ste 404
Jeffersonvlle, IN 47130
Phone (812) 218-3212
1919 State St
Ste 444
New Albany, IN 47150
Phone (502) 368-9590
716 W Broadway
Louisville, KY 40202
Phone (502) 222-3449
716 W Broadway
Ste 2
Louisville, KY 40202
10216 Taylorsville Rd
Ste 850
Louisville, KY 40299
Phone (502) 240-0315
Interoperability endpoints
- amy.alexander@direct.davitaphysiciansolutions.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1113681 | KY | |
| Nurse Practitioner | 363L00000X | 71004079A | IN | Yes |
| Nurse Practitioner | 363L00000X | 3007666 | KY |
Addresses
Primary practice location
716 W Broadway
Louisville, KY 40202-2216
Mailing address
716 W Broadway
Suite 2
Louisville, KY 40202-2216
Phone (502) 238-9911
Other providers in Louisville, KY
- Bonifacio Aleman
- Peter Frank Alena
- Albert E Alexander Jr.
- Amanda Alexander
- Amber Alexander
- Brian Adrian Alexander
- Courtney Alexander
- Danny Alexander
- Davarres Alexander
- Demitra Alexander
All providers in Louisville, KY · 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 Jun 24, 2015. 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.