Individual provider Active NPI

Regina Dawn Wilkerson, APRN

  • Acute Care Nurse Practitioner
  • Paducah, KY
National Provider Identifier
1346606860
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
3010183 Issued in KY
Practice address
67 Lakeview Dr
Paducah, KY 42001-5619
Phone
(270) 554-8373
Fax
(270) 554-8987
NPI assigned
Jan 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 3010183 KY
Acute Care Nurse Practitioner 363LA2100X 3010183 KY Primary

Addresses

Primary practice location

67 Lakeview Dr
Paducah, KY 42001-5619

Mailing address

67 Lakeview Dr
Paducah, KY 42001-5619
Phone (270) 554-8373

Other practice location 1

225 Medical Center Dr
Suite 402
Paducah, KY 42003-7914
Phone (270) 442-0103

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
I20160429000109 KY Practitioner - Nurse Practitioner 4789983586 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
360Care Services of Kentucky LLCGroup PAC ID 9931587888, 17 clinicians

Practice addresses (Care Compare)

4350 Brownsboro Rd
Suite 200
Louisville, KY 40207-1681
Phone (248) 528-2116

67 Lakeview Dr
Paducah, KY 42001-5619
Phone 27055483734428

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as group
Improvement activities
40
Cost
75.33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3010183KYMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
360Care Services of Kentucky LLC Current Accepting new patients
Mercy Health Physicians Kentucky Specialty Care LLC CurrentSince Sep 1, 2020 Accepting new patients
360Care Services of Kentucky LLC CurrentSince Jan 2, 2024 Accepting new patients
Pain Management Centers of America, PSC CurrentSince Mar 1, 2026 Accepting new patients
Mercy Health Physicians Kentucky Specialty Care LLC CurrentSince Sep 1, 2020 Accepting new patients

Locations

83 Wellness Way
#2
Benton, KY 42025
Phone (270) 527-0045

12910 Shelbyville Rd
Ste 110
Louisville, KY 40243

4350 Brownsboro Rd
Ste 200
Louisville, KY 40207
Phone (513) 771-7483

12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693

1532 Lone Oak Rd
Ste 320
Paducah, KY 42003
Phone (270) 415-3830

1532 Lone Oak Rd
Ste 245
Paducah, KY 42003
Phone (270) 538-5537

67 Lakeview Dr
Paducah, KY 42001
Phone (270) 554-8373

225 Medical Center Dr
Ste 402
Paducah, KY 42003
Phone (270) 441-4400

1530 Lone Oak Rd
Paducah, KY 42003
Phone (270) 444-2444

131 Hospital Dr
Salem, KY 42078
Phone (270) 988-2299

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1452643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1346606860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 LAKEVIEW DR",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420015619",
            "telephone_number": "270-554-8373",
            "fax_number": "270-554-8987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 LAKEVIEW DR",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420015619",
            "telephone_number": "270-554-8373",
            "fax_number": "270-554-8987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Medical Center Dr",
            "address_2": "Suite 402",
            "address_purpose": "LOCATION",
            "city": "Paducah",
            "state": "KY",
            "postal_code": "420037914",
            "country_code": "US",
            "telephone_number": "270-442-0103",
            "fax_number": "270-442-0109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "REGINA",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-13",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "KY",
            "license": "3010183",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "KY",
            "license": "3010183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.