Individual provider Active NPI

Francine Pulliam, APRN

  • Family Nurse Practitioner
  • Elizabethtown, KY
National Provider Identifier
1346091964
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4016822 Issued in KY
Practice address
200 Cardinal Dr Ste 314
Elizabethtown, KY 42701-2787
Phone
(270) 706-1010
Fax
(270) 706-5849
NPI assigned
Apr 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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 4016822 KY Primary

Addresses

Primary practice location

200 Cardinal Dr Ste 314
Elizabethtown, KY 42701-2787

Mailing address

200 Cardinal Dr Ste 314
Elizabethtown, KY 42701-2787
Phone (270) 706-1010

Other identifiers 1

IdentifierTypeStateIssuer
7100966190MedicaidKY

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
I20240424003076 KY Practitioner - Nurse Practitioner 1658711692 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

1010 Woodland Dr
Elizabethtown, KY 42701-3706
Phone (270) 706-1010

Hospital & facility affiliations

  • Caretenders Home health agency, Elizabethtown, KY, CCN 187145
  • Baptist Health Hardin Hospital, Elizabethtown, KY, CCN 180012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Apr 1, 2024 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Apr 1, 2024 Accepting new patients
Baptist Health Medical Group Inc Current Accepting new patients

Locations

200 Cardinal Dr
Ste 314
Elizabethtown, KY 42701
Phone (270) 706-1010

1010 Woodland Dr
Elizabethtown, KY 42701
Phone (270) 706-1010

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

Organizations & group practices 3

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1346091964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CARDINAL DR STE 314",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012787",
            "telephone_number": "270-706-1010",
            "fax_number": "270-706-5849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CARDINAL DR STE 314",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012787",
            "telephone_number": "270-706-1010",
            "fax_number": "270-706-5849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULLIAM",
        "first_name": "FRANCINE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-01",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4016822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100966190",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

Verify at the official NPI Registry.