Macy Lura Thompson Clevidence, APRN FNP-C
Individual provider Active NPI Family Nurse Practitioner · Morganfield, KY
NPI 1447738265 · NPPES record last updated Aug 2, 2018
Key facts
- NPI
- 1447738265
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 3012486 (KY)
- Practice address
- 1284 US Highway 60 W
Morganfield, KY 42437 - Phone
- (270) 389-2323
- NPI assigned
- Aug 2, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 19
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Methodist Health, Inc.
Deaconess Union County Hospital, Inc
Deaconess Clinic Inc
Practice addresses (Care Compare)
1284 US Hwy 60 W
Morganfield, KY 42437-6236
Phone (270) 389-2323
1300 Merritt Dr
Henderson, KY 42420-2788
Phone (270) 827-0064
Hospital & facility affiliations
- Methodist Hospital Union County
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180906003063 | KY | Practitioner - Nurse Practitioner | 4688924954 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Clinic, Inc | Family | Current | Accepting new patients |
| Deaconess Union County Hospital, Inc | Current |
Accepting new patients | |
| Deaconess Clinic Inc | Current |
Accepting new patients | |
| Deaconess Union County Hospital, Inc | Current | Accepting new patients | |
| Deaconess Clinic Inc | Family | Current |
Accepting new patients |
| Deaconess Clinic, Inc | Current |
Accepting new patients |
Locations
1305 N Elm St
Henderson, KY 42420
Phone (270) 827-7100
1413 N Elm St
Ste 204
Henderson, KY 42420
Phone (270) 830-9973
1300 Merritt Dr
Henderson, KY 42420
Phone (270) 824-0064
1700 US Highway 60 W
Morganfield, KY 42437
Phone (270) 389-0031
1284 US Highway 60 W
Morganfield, KY 42437
Phone (270) 389-2323
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3012486 | KY | Yes |
Addresses
Primary practice location
1284 US Highway 60 W
Morganfield, KY 42437
Mailing address
PO Box 134
Uniontown, KY 42461-0134
Phone (270) 952-6025
Other providers in Morganfield, KY
- Breckinridge Services Inc
- Farrah N Burgess
- William H Clapp
- William Kyle Clark
- Tara Lynn Clements
- Peter Pruitt Cohron
- Rachel L Creighton
- Michelle Daugherty
- Sarah Marie Day
- Deaconess Clinic Inc
All providers in Morganfield, KY · Family Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.