Individual provider Active NPI

Vickie L Marple, ARNP

  • Nurse Practitioner
  • Liberty, KY
National Provider Identifier
1447281712
Registry record updated Oct 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4478P Issued in KY
Practice address
108 Taylor St
Liberty, KY 42539-3160
Phone
(606) 706-4265
Fax
(606) 706-4275
NPI assigned
Jul 5, 2006
Last updated
Oct 6, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4478P KY Primary

Addresses

Primary practice location

108 Taylor St
Liberty, KY 42539-3160

Mailing address

PO Box 1196
Liberty, KY 42539-1196
Phone (606) 706-4265

Other identifiers 1

IdentifierTypeStateIssuer
65907727MedicaidKY

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
I20060929000435 KY Practitioner - Nurse Practitioner 8628073426 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

108 Taylor St
Liberty, KY 42539-3160
Phone (606) 706-4265

PO Box
Suite 1196
Liberty, KY 42539-1196

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
69.66 of 100Reported as group
Quality
39.23
Promoting interoperability
99
Improvement activities
40
Cost
43.79

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4478PKYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Liberty Medical Clinic CurrentSince May 23, 2011 Accepting new patients

Locations

108 Taylor St
Liberty, KY 42539
Phone (606) 706-4265

Organizations & group practices 1

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317859200000",
    "number": "1447281712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1196",
            "city": "LIBERTY",
            "state": "KY",
            "postal_code": "425391196",
            "telephone_number": "606-706-4265",
            "fax_number": "606-706-4275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 TAYLOR ST",
            "city": "LIBERTY",
            "state": "KY",
            "postal_code": "425393160",
            "telephone_number": "606-706-4265",
            "fax_number": "606-706-4275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARPLE",
        "first_name": "VICKIE",
        "middle_name": "L",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2011-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "4478P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65907727",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty, KY

Sources for this page

Verify at the official NPI Registry.