Ryan Thomas Faulkner, APRN
Individual provider Active NPI Family Nurse Practitioner · Catlettsburg, KY
NPI 1356829147 · NPPES record last updated Aug 16, 2018
Key facts
- NPI
- 1356829147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 3012580 (KY)
- Practice address
- 4004 Louisa Rd
Catlettsburg, KY 41129 - Phone
- (606) 739-6095
- Fax
- (606) 739-8252
- NPI assigned
- Aug 2, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- JC Edwards School of Medicine, Marshall University, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ashland Hospital Corporation
Premier Therapy and Health Centers Inc
Practice addresses (Care Compare)
10015 US
Suite 23
Catlettsburg, KY 41129-1091
Phone (606) 739-6095
2400 13TH St
Ashland, KY 41102-4510
Phone (606) 329-0910
Hospital & facility affiliations
- St Mary'S Home Health Service
- King'S Daughters' Medical Center HHA
- King'S Daughters' Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.16 of 100
- Quality
- 77.42
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.62
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 |
|---|---|---|---|---|
| I20180914002552 | KY | Practitioner - Nurse Practitioner | 9537410451 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3012580 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ashland Hospital Corporation | Current | Accepting new patients | |
| Ashland Hospital Corporation | Current |
Accepting new patients |
Locations
2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560
4004 Louisa Rd
Catlettsburg, KY 41129
Phone (606) 739-6095
Interoperability endpoints
- rfaulkner31444@direct.kdhealth.us
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3012580 | KY | Yes |
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.023474 | OH |
Addresses
Primary practice location
4004 Louisa Rd
Catlettsburg, KY 41129
Mailing address
PO Box 1595
Ashland, KY 41105-1595
Phone (606) 408-6200
Other providers in Catlettsburg, KY
- Stacey Ann Dixon
- Donahoe Home Care Services LLC
- Elysian Wellness
- Elysian Wellness
- James Jason Farley
- Lisa Fritz
- Lora Kay Gipson-King
- Dianna Carol Grubb
- Timothy S Hart
- Amy Hatzel
All providers in Catlettsburg, 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 Aug 16, 2018. 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.