Individual provider Active NPI

Elisha Lupe Hussey, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Somerset, KY
National Provider Identifier
1417612672
Registry record updated Dec 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3017053 Issued in KY
Practice address
149 Enterprise Dr
Somerset, KY 42501-6155
Phone
(606) 679-6995
NPI assigned
Nov 3, 2021
Last updated
Dec 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3017053 KY Primary

Addresses

Primary practice location

149 Enterprise Dr
Somerset, KY 42501-6155

Mailing address

149 Enterprise Dr
Somerset, KY 42501-6155
Phone (606) 679-6995

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Somerset

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
I20220303001670 KY Practitioner - Nurse Practitioner 8123412368 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3017053KYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Faith Healthcare Inc CurrentSince Jan 1, 2024 Accepting new patients
PPL Therapeutic Services PLLC CurrentSince Mar 21, 2023 Accepting new patients
Faith Healthcare Inc CurrentSince Jan 1, 2024 Accepting new patients
Somerset Mental Health, PSC CurrentSince Feb 22, 2022 Accepting new patients

Locations

100 Carmel Manor Dr
Fort Thomas, KY 41075
Phone (859) 781-5111

126 Franklin Rd
Monticello, KY 42633
Phone (606) 396-3534

9919 W Highway 80
Nancy, KY 42544
Phone (606) 288-0019

5775 N Highway 27
Ste 6
Science Hill, KY 42553
Phone (606) 489-3629

106 Gover St
Somerset, KY 42501
Phone (606) 676-8209

149 Enterprise Dr
Somerset, KY 42501
Phone (606) 679-6995

Organizations & group practices 4

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": "1635897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638576000000",
    "number": "1417612672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 ENTERPRISE DR",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425016155",
            "telephone_number": "606-679-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 ENTERPRISE DR",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425016155",
            "telephone_number": "606-679-6995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSEY",
        "first_name": "ELISHA",
        "middle_name": "LUPE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-12-04",
        "certification_date": "2021-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3017053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Somerset",
            "affiliation": "N",
            "address_1": "1209 Maple Hill Dr",
            "city": "Somerset",
            "state": "KY",
            "country_code": "US",
            "postal_code": "425038839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

Verify at the official NPI Registry.