Individual provider Active NPI

Amy Wenstrup, FNP-BC

  • Family Nurse Practitioner
  • Florence, KY
National Provider Identifier
1477143550
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3015718 Issued in KY
Practice address
7685 Mall Rd
Florence, KY 41042-1403
Phone
(859) 795-5840
NPI assigned
Jan 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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 3015718 KY Primary

Addresses

Primary practice location

7685 Mall Rd
Florence, KY 41042-1403

Mailing address

10382 Calvary Rd
Independence, KY 41051-9685

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
I20210205001274 KY Practitioner - Nurse Practitioner 6103230933 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kiosk Medicine Kentucky LLCGroup PAC ID 6002887510, 169 clinicians

Practice addresses (Care Compare)

7685 Mall Rd
Florence, KY 41042-1403
Phone (859) 795-5840

Merit-based Incentive Payment System (MIPS)

Final score
83.72 of 100Reported as group
Quality
66.02
Promoting interoperability
100
Improvement activities
40
Cost
79.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3015718KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kiosk Medicine Kentucky LLC Family CurrentSince Feb 3, 2021 Accepting new patients

Locations

7685 Mall Rd
Florence, KY 41042
Phone (859) 795-5820

1700 Declaration Dr
Independence, KY 41051
Phone (859) 363-9020

3039 Breckenridge Ln
Louisville, KY 40220
Phone (502) 451-4555

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.

NPI Registry JSON

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

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1477143550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10382 CALVARY RD",
            "city": "INDEPENDENCE",
            "state": "KY",
            "postal_code": "410519685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7685 MALL RD",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410421403",
            "telephone_number": "859-795-5840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENSTRUP",
        "first_name": "AMY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-21",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3015718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, KY

Sources for this page

Verify at the official NPI Registry.