Individual provider Active NPI

Rachel Weedman

  • Family Nurse Practitioner
  • Taylorsville, KY
National Provider Identifier
1417330549
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3008969 Issued in KY
Practice address
625 Taylorsville Rd
Taylorsville, KY 40071-7798
Phone
(502) 477-8838
Fax
(502) 477-2273
NPI assigned
Jul 7, 2015
Last updated
Jul 7, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2015

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 3008969 KY Primary

Addresses

Primary practice location

625 Taylorsville Rd
Taylorsville, KY 40071-7798

Mailing address

12201 Bluegrass Pkwy
Louisville, KY 40299-2361
Phone (502) 568-7364

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
I20150804006053 KY Practitioner - Nurse Practitioner 8628382611 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest GeriatricsGroup PAC ID 1759420086, 4 clinicians

Practice addresses (Care Compare)

3625 Fern Valley Rd
Louisville, KY 40219-1916
Phone (502) 964-3381

Merit-based Incentive Payment System (MIPS)

Final score
70.64 of 100Reported as group
Quality
31.67
Improvement activities
40
Cost
72.9

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Provider Partners Care Management LP CurrentSince Oct 1, 2024 Accepting new patients
Midwest Geriatrics Family CurrentSince Aug 24, 2018 Accepting new patients

Locations

4915 Charlestown Rd
New Albany, IN 47150
Phone (812) 945-5221

3625 Fern Valley Rd
Louisville, KY 40219
Phone (502) 262-5172

4247 Westport Rd
Louisville, KY 40207
Phone (502) 694-7432

446 Mount Holly Ave
Louisville, KY 40206
Phone (502) 897-1646

6415 Calm River Way
Louisville, KY 40299
Phone (502) 297-8590

9700 Stonestreet Rd
Louisville, KY 40272
Phone (502) 995-2400

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (317) 432-0682

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436227200000",
    "number": "1417330549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12201 BLUEGRASS PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402992361",
            "telephone_number": "502-568-7364",
            "fax_number": "502-568-7136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 TAYLORSVILLE RD",
            "city": "TAYLORSVILLE",
            "state": "KY",
            "postal_code": "400717798",
            "telephone_number": "502-477-8838",
            "fax_number": "502-477-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEEDMAN",
        "first_name": "RACHEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-07",
        "last_updated": "2015-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3008969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylorsville, KY

Sources for this page

Verify at the official NPI Registry.