Katy Leanne Marcum, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3014496 Issued in KY

Practice address

4359 New Shepherdsville Rd Unit 255
Bardstown, KY 40004-8004

Phone

(502) 350-5800

Fax

(502) 350-5820

NPI assigned

Jul 14, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Flaget Healthcare IncGroup PAC ID 5890692024, 19 clinicians

Commonwealth Pain Associates PLLCGroup PAC ID 0941441919, 156 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• CHI Saint Joseph Flaget Memorial Hospital Hospital, Bardstown, KY, CCN 180025

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: katy.marcum.1@16521.direct.athenahealth.com

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.

• Commonwealth Pain Associates, PLLC

  • Interventional Pain Medicine Physician
  • Louisville, KY
  • NPI 1306280177

  Family

  Medicare reassignment Care Compare group NPD
• Flaget Healthcare Inc

  • Internal Medicine Physician
  • Bardstown, KY
  • NPI 1104988203
  Medicare reassignment Care Compare group NPD
• Commonwealth Pain Associates PLLC

  • Durable Medical Equipment & Medical Supplies
  • Paducah, KY
  • NPI 1114753720
  NPD
• Flaget Healthcare Inc

  • Rural Health Clinic/Center
  • New Haven, KY
  • NPI 1376159236
  NPD
• Flaget Healthcare, Inc

  • Rural Health Clinic/Center
  • Bardstown, KY
  • NPI 1710590880
  NPD

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

• Flaget Healthcare, Inc

  • General Acute Care Hospital
  • Bardstown, KY
  • NPI 1871588772
  Care Compare affiliation

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1427676618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407430936",
            "telephone_number": "606-330-7835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4359 NEW SHEPHERDSVILLE RD UNIT 255",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400048004",
            "telephone_number": "502-350-5800",
            "fax_number": "502-350-5820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1107 Crown Pointe Dr Ste 107",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "KY",
            "postal_code": "427017280",
            "country_code": "US",
            "telephone_number": "270-506-3300",
            "fax_number": "270-506-2843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARCUM",
        "first_name": "KATY",
        "middle_name": "LEANNE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-14",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3014496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0411379",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300040518",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100676370",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER ID NUMBER",
            "identifier": "000001402203",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE PROVIDER ID NUMBER",
            "identifier": "CS2026700184",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA PROVIDER ID NUMBER",
            "identifier": "3255677",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katy.marcum.1@16521.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Commonwealth Pain Associates, PLLC",
            "address_1": "1107 Crown Pointe Dr Ste 107",
            "city": "Elizabethtown",
            "state": "KY",
            "country_code": "US",
            "postal_code": "427017280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Britta Zoeller Maciuba
• Amanda Marie Maier, MSOTR/L, CLT
• Dakota Makatche, DMD
• Raza Ali Malik, M.D.
• Kasey Lynn Manning, OD
• Mark a Abramovich MD
• Mark a. Abramovich, MD
• Terry Kevyn Marmon II, DC
• Marosian Medical, PLLC
• Jessica Marshall, D.O.

• Family Nurse Practitioner in Bardstown, KY
• Providers in Bardstown, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.