Individual provider Active NPI

Aileen A Smith, APRN

  • Family Nurse Practitioner
  • Owensboro, KY
National Provider Identifier
1366016040
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3016107 Issued in KY
Practice address
1030A Burlew Blvd
Owensboro, KY 42303-1735
Phone
(270) 926-2273
Fax
(270) 684-3212
NPI assigned
May 17, 2021
Last updated
May 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2021

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 3016107 KY Primary

Addresses

Primary practice location

1030A Burlew Blvd
Owensboro, KY 42303-1735

Mailing address

1030A Burlew Blvd
Owensboro, KY 42303-1735
Phone (270) 926-2273

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
I20210726002888 KY Practitioner - Nurse Practitioner 1557764750 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Owensboro Health, IncGroup PAC ID 0547154650, shared by 9 NPIs, 179 clinicians
Premier Medical Group PSCGroup PAC ID 7517868235, 5 clinicians

Practice addresses (Care Compare)

1006 Ford Ave
Owensboro, KY 42301-4677
Phone (270) 688-4845

1030 A Burlew Blvd
Owensboro, KY 42303-1735
Phone (270) 926-2273

1030 Burlew Blvd
Suite a
Owensboro, KY 42303-2057
Phone (270) 926-2273

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Affiliated Care, PSC CurrentSince Jun 1, 2021 Accepting new patients
Owensboro Health Medical Group Inc Family CurrentSince Jan 19, 2026 Accepting new patients
Premier Medical Group, PSC Family CurrentSince Jun 1, 2021 Accepting new patients
Owensboro Health Medical Group Inc Family CurrentSince Jan 19, 2026 Accepting new patients
Owensboro Health Medical Group, Inc Family Past Accepting new patients

Locations

1030 Burlew Blvd
Ste A
Owensboro, KY 42303
Phone (270) 926-2273

2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351

Organizations & group practices 6

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 5

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": "1621209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1366016040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030A BURLEW BLVD",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031735",
            "telephone_number": "270-926-2273",
            "fax_number": "270-684-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030A BURLEW BLVD",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031735",
            "telephone_number": "270-926-2273",
            "fax_number": "270-684-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "AILEEN",
        "middle_name": "A",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-17",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3016107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.