Individual provider Active NPI

Barbara Bargo, ARNP

  • Nurse Practitioner
  • Bimble, KY
National Provider Identifier
1346201936
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2774P Issued in KY
Practice address
4671 S US Highway 25 E
Bimble, KY 40915
Phone
(606) 546-2598
Fax
(606) 545-0497
NPI assigned
Mar 31, 2006
Last updated
Dec 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2774P KY Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2774P KY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2774P KY

Addresses

Primary practice location

4671 S US Highway 25 E
Bimble, KY 40915

Mailing address

4671 S US Highway 25 E
Bimble, KY 40915
Phone (606) 546-2598

Other identifiers 1

IdentifierTypeStateIssuer
78277407MedicaidKY

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
I20061002000519 KY Practitioner - Nurse Practitioner 4284639956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Royal Treatment Healthcare IncGroup PAC ID 0941449086, 2 clinicians

Practice addresses (Care Compare)

4671 S US Hwy 25E
Bimble, KY 40915
Phone (606) 546-2598

47671 S US Hwy 25 E
Bimble, KY 40915

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2774PKYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Royal Treatment Healthcare Inc Multi-Specialty CurrentSince Apr 29, 2013 Accepting new patients
Manchester Family Practice Clinic Multi-Specialty Past Accepting new patients
Williamsburg Family Practice Clinic Past Accepting new patients
SE Kentucky Family Practice Clinics Inc Multi-Specialty Past Accepting new patients

Locations

4671 S US Highway 25E
Bimble, KY 40915
Phone (606) 546-0053

Interoperability endpoints

  • Direct secure messaging: barbara.bargo.1@24154.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/24154/brand/2/csg/21/fhir/r4

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Royal Treatment Healthcare IncBimble, KY, CCN 188942 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Corporate Officer
Corporate Director
W-2 Managing Employee
Operational/Managerial Control
Mar 27, 2013
Mar 27, 2013
Mar 27, 2013
Mar 27, 2013
Oct 1, 2013

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1346201936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4671 S US HIGHWAY 25 E",
            "city": "BIMBLE",
            "state": "KY",
            "postal_code": "40915",
            "telephone_number": "606-546-2598",
            "fax_number": "606-545-0497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4671 S US HIGHWAY 25 E",
            "city": "BIMBLE",
            "state": "KY",
            "postal_code": "40915",
            "telephone_number": "606-546-2598",
            "fax_number": "606-545-0497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARGO",
        "first_name": "BARBARA",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "2774P",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "2774P",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "2774P",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78277407",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bimble, KY

Sources for this page

Verify at the official NPI Registry.