Individual provider Active NPI

Austin Walker Harrison

  • Psychiatric/Mental Health Nurse Practitioner
  • Elizabethtown, KY
National Provider Identifier
1356187553
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4007284 Issued in KY
Practice address
2000 Ring Rd
Elizabethtown, KY 42701-9454
Phone
(270) 506-2730
NPI assigned
Jul 8, 2024
Last updated
Jul 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4007284 KY Primary

Addresses

Primary practice location

2000 Ring Rd
Elizabethtown, KY 42701-9454

Mailing address

2000 Ring Rd
Elizabethtown, KY 42701-9454
Phone (270) 506-2730

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
I20241108001262 KY Practitioner - Nurse Practitioner 3678007945 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pinelake Physician Practice LLCGroup PAC ID 6800797507, 45 clinicians
Astra Behavioral Health LLCGroup PAC ID 0749406577, 35 clinicians

Practice addresses (Care Compare)

1099 Medical Ctr Cir
Mayfield, KY 42066-1179
Phone (270) 251-4250

4010 Dupont Cir
Suite 210
Louisville, KY 40207-4847
Phone (502) 694-4820

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4007284KYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinelake Physician Practice, LLC Current Accepting new patients
Pinelake Physician Practice, LLC CurrentSince Nov 1, 2025 Accepting new patients
Pinelake Physician Practice, LLC CurrentSince Nov 1, 2025 Accepting new patients
Astra Behavioral Health LLC Psychiatric/Mental Health CurrentSince Aug 1, 2024 Accepting new patients

Locations

1013 Granite Dr
Bardstown, KY 40004
Phone (270) 506-2730

2000 Ring Rd
Elizabethtown, KY 42701
Phone (270) 506-2730

4010 DuPont Cir
Ste 210
Louisville, KY 40207
Phone (502) 694-4820

1029 Medical Center Cir
Ste 401
Mayfield, KY 42066
Phone (270) 251-4590

1099 Medical Center Cir
Mayfield, KY 42066
Phone (270) 251-4100

162 S Buckman St
Shepherdsville, KY 40165
Phone (502) 215-8770

Organizations & group practices 4

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.

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": "1720396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1356187553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 RING RD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427019454",
            "telephone_number": "270-506-2730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 RING RD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427019454",
            "telephone_number": "270-506-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "AUSTIN",
        "middle_name": "WALKER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "4007284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

Verify at the official NPI Registry.