Lindsey Hickerson, APRN
Individual provider Active NPI Family Nurse Practitioner · Munfordville, KY
NPI 1376933150 · NPPES record last updated Mar 10, 2015
Key facts
- NPI
- 1376933150
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 3009233 (KY)
- Practice address
- 1134 Main St
Munfordville, KY 42765-9432 - Phone
- (270) 524-3641
- NPI assigned
- Jan 30, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bowling Green-Warren County Community Hospital Corporation
Caverna Memorial Hospital Inc
Practice addresses (Care Compare)
1134 Main St
Munfordville, KY 42765-9432
Phone (270) 524-3641
1495 S Dixie St
Horse Cave, KY 42749-1457
Phone (270) 786-2372
Hospital & facility affiliations
- Caverna Memorial Hospital
- T J Samson Community Hospital
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 |
|---|---|---|---|---|
| I20150302002519 | KY | Practitioner - Nurse Practitioner | 8325364730 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonwealth Health Corporation, Inc | Current | Accepting new patients | |
| Commonwealth Health Corporation, Inc. | Current |
Accepting new patients | |
| Bowling Green-Warren County Community Hospital Corporation | Family | Current |
Accepting new patients |
| Bowling Green-Warren County Community Hospital Corporation | Current |
Accepting new patients | |
| Bowling Green-Warren County Community Hospital Corporation | Current | Accepting new patients | |
| Commonwealth Health Corporation, Inc. | Family | Current |
Accepting new patients |
Locations
825 2nd Ave
Ste C3
Bowling Green, KY 42101
Phone (270) 780-2660
350 Park St
Ste 203
Bowling Green, KY 42101
Phone (270) 781-0075
250 Park St
Bowling Green, KY 42101
Phone (270) 745-1000
322 S College St
Franklin, KY 42134
Phone (270) 586-4401
1134 Main St
Munfordville, KY 42765
Phone (270) 524-3641
1501 S Dixie St
Park, KY 42749
Phone (270) 745-1255
466 Burnley Rd
Scottsville, KY 42164
Phone (270) 237-3131
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3009233 | KY | Yes |
Addresses
Primary practice location
1134 Main St
Munfordville, KY 42765-9432
Mailing address
1134 Main St
Munfordville, KY 42765-9432
Phone (270) 524-3641
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3009233 | Other | KY | KENTUCKY BOARD OF NURSING |
Other providers in Munfordville, KY
- Belinda Conrad Harlow
- Hart County Ambulance Service Taxing District
- Hart County School District
- Sallye Hawkins
- Ann Marie Hemmer
- Samantha Hines
- John Hishmeh
- Jill Lynn Humphrey
- Allicia Ill
- Jane'S Pharmacy, LLC
All providers in Munfordville, 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 Mar 10, 2015. 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.