NPIMap

Individual provider Active NPI

Carmelita Yvette Moppins, APRN, FNP-C

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1407362015
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3011407 Issued in KY
Practice address
225 Abraham Flexner Way Ste 502
Louisville, KY 40202-1896
Phone
(502) 588-7690
NPI assigned
Dec 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 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 3011407 KY Primary

Addresses

Primary practice location

225 Abraham Flexner Way Ste 502
Louisville, KY 40202-1896

Mailing address

PO Box 909
Louisville, KY 40201-0909
Phone (502) 588-7690

Other practice location 1

1265 Goss Ave
Louisville, KY 40217-2271
Phone (502) 873-1260

Other identifiers 1

IdentifierTypeStateIssuer
7100521150MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180108002808 KY Practitioner - Nurse Practitioner 9133488638 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kiosk Medicine Kentucky LLCGroup PAC ID 6002887510, 169 clinicians

Practice addresses (Care Compare)

1265 Goss Ave
Louisville, KY 40217-2271
Phone (502) 873-1260

225 Abraham Flexner Way
Suite 305
Louisville, KY 40202-1891
Phone (502) 585-4321

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.96 of 100Reported as group
Quality
56.12
Promoting interoperability
100
Improvement activities
40
Cost
73.73

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. CurrentSince Jan 18, 2021 Accepting new patients
University of Louisville Physicians, Inc. Current Accepting new patients
Kiosk Medicine Kentucky LLC Family CurrentSince Jan 16, 2018 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Jan 18, 2021 Accepting new patients
University of Louisville Physicians, Inc. Past Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

1265 Goss Ave
Louisville, KY 40217
Phone (502) 634-0649

225 Abraham Flexner Way
Ste 305
Louisville, KY 40202
Phone (800) 553-1799

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

3039 Breckenridge Ln
Louisville, KY 40220
Phone (502) 451-4555

2440 Bardstown Rd
Louisville, KY 40205
Phone (502) 459-3248

4915 Dixie Hwy
Louisville, KY 40216
Phone (502) 448-8247

Interoperability endpoints

  • Direct secure messaging: carmelita.moppins@krogerhealth.eclinicaldirectplus.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 22

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 22

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1407362015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402010909",
            "telephone_number": "502-588-7690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 ABRAHAM FLEXNER WAY STE 502",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021896",
            "telephone_number": "502-588-7690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1265 Goss Ave",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402172271",
            "country_code": "US",
            "telephone_number": "502-873-1260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOPPINS",
        "first_name": "CARMELITA",
        "middle_name": "YVETTE",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-19",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3011407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100521150",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.