Glen Ware Jr.
Individual provider Active NPI Family Nurse Practitioner · Kings Mountain, KY
NPI 1306314752 · NPPES record last updated Apr 13, 2023
Key facts
- NPI
- 1306314752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 3012813 (KY)
- Practice address
- 24 Old South Fork Rd
Kings Mountain, KY 40442-9702 - Phone
- (606) 448-0693
- NPI assigned
- Nov 4, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 27
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Ephraim McDowell Health Resource Inc
Emhfl Inc
Ephraim McDowell Regional Medical Center Incorporated
Practice addresses (Care Compare)
109 Daniel Dr
Danville, KY 40422-2527
Phone (859) 236-3361
110 Metker TRL
Stanford, KY 40484-1020
Phone (606) 365-4600
120 Daniel Dr
Danville, KY 40422-2527
Phone (859) 239-5570
124 Daniel Dr
Danville, KY 40422-2527
Phone (859) 239-5570
125 Portman Ave
Stanford, KY 40484-1229
Phone (606) 365-3378
130 Daniel Dr
Danville, KY 40422-2527
Phone (859) 236-2222
217 S 3Rd St
Danville, KY 40422-1823
Phone (859) 239-2318
Hospital & facility affiliations
- McDowell Home Health Agency
- Ephraim McDowell Fort Logan Hospital
- Ephraim McDowell Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 69.66 of 100
- Quality
- 39.23
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 43.79
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.36 of 100
- Quality
- 64.78
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 67.25
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled 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 |
|---|---|---|---|---|
| I20190225001757 | KY | Practitioner - Nurse Practitioner | 4082953716 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3012813 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ephraim McDowell Health Resource, Inc. | Current |
Accepting new patients | |
| Nick Dedman, MD and Associates, P.S.C. | Family | Current | Accepting new patients |
| Ephraim McDowell Health Resource, Inc | Family | Current |
Accepting new patients |
| Ephraim McDowell Health Resource, Inc. | Family | Current | Accepting new patients |
| Ephraim McDowell Health Resource, Inc | Family | Current | Accepting new patients |
| The James B. Haggin Memorial Hospital Inc | Current |
Accepting new patients | |
| The James B. Haggin Memorial Hospital Inc | Current | Accepting new patients | |
| Ephraim McDowell Regional Medical Center Incorporated | Current |
Accepting new patients | |
| The James B. Haggin Memorial Hospital Inc | Current |
Accepting new patients | |
| Ephraim McDowell Regional Medical Center, Incorporated | Current |
Accepting new patients | |
| Ephraim McDowell Health Resource, Inc. | Past | Accepting new patients |
Locations
109 Daniel Dr
Danville, KY 40422
Phone (859) 236-3361
217 S 3rd St
Danville, KY 40422
Phone (859) 239-1000
216 W Walnut St
Ste A
Danville, KY 40422
Phone (859) 239-5870
1541 Lebanon Rd
Ste 1
Danville, KY 40422
Phone (859) 236-3208
464 Linden Ave
Harrodsburg, KY 40330
Phone (859) 734-5441
466 Linden Ave
#A
Harrodsburg, KY 40330
Phone (859) 734-5173
511 Middleburg St
Liberty, KY 42539
Phone (606) 236-2388
125 Portman Ave
Stanford, KY 40484
Phone (606) 365-3378
110 Metker Trl
Stanford, KY 40484
Phone (606) 365-3360
5130 Parkway Plaza Blvd
Charlotte, NC 28217
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3012813 | KY | Yes |
Addresses
Primary practice location
24 Old South Fork Rd
Kings Mountain, KY 40442-9702
Mailing address
24 Old South Fork Rd
Kings Mountain, KY 40442-9702
Phone (606) 448-0693
Other providers in Kings Mountain, KY
All providers in Kings Mountain, KY · Family 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 13, 2023. 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.