Eventus Ecs - Kentucky, PLLC
Organization Active NPI Nurse Practitioner · Lexington, KY
NPI 1396563276 · NPPES record last updated Sep 30, 2024
Key facts
- NPI
- 1396563276
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nurse Practitioner 363L00000X
- Legal business name
- EVENTUS ECS - KENTUCKY, PLLC
- Practice address
- 828 Lane Allen Rd Ste 219
Lexington, KY 40504-3659 - Phone
- (855) 743-2247
- NPI assigned
- Sep 30, 2024
- Organization subpart
- No
Authorized official
- Name
- Jennifer Rucci, MD
- Title
- Owner
- Phone
- (855) 743-2247
Practitioners 198
-
Teresa Lynn Bell, APRN, FNP-C
-
Marta Bogdzia, APRN CNP
-
Corey Lee Campbell, PA-C
-
Helen Michelle Cumpton, R.N.
-
Rae Eaves, APRN
-
Larrietta Leann Elliotte, PA-C
-
Laura Faughn, M.D.
-
Angela Gipson, APRN
-
Michael Edward Helm, PA-C
-
Lorie Jansen, APRN
-
Sara Johnson, PMHNP
-
Allison Konen, MSN, APRN, NP-C
-
Samantha Lee, APRN
-
Natashia Little, APRN, AGNP-C
-
Connie Maddox, APRN
-
Alicia Mathew, FNP
-
Kathy Lynn Moss, APRN, PMHNP, B-C
-
Katherine Louise Nauert, APRN, FNP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KY, IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250116002906 | KY | Part B Supplier - Clinic/Group Practice | 2567990617 |
Receives reassigned benefits from 80 practitioners Practice locations: Lexington, KY |
| O20251030004791 | IN | Part B Supplier - Clinic/Group Practice | 2567990617 |
Receives reassigned benefits from 143 practitioners Practice locations: Indianapolis, IN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | |||
| Nurse Practitioner |
363L00000X | Yes |
Addresses
Primary practice location
828 Lane Allen Rd Ste 219
Lexington, KY 40504-3659
Mailing address
PO Box 1431 Dept. 423
Charlotte, NC 28201-1431
Phone (855) 743-2247
Other providers in Lexington, KY
- Rickey Ali Evans
- Sophia Victoria Evans
- Stacy L Evans
- Tamara Evans
- Timothy Dale Evans
- Meghan Everett
- Virginia Brand Evergreen
- Everlasting Love Homecare and Private Duty Services, L.L.C.
- Kenadee E Everly
- Nicole Anne Everman
All providers in Lexington, KY · 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 Sep 30, 2024. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.