Micah Mariah Allen, NP
Individual provider Active NPI Family Nurse Practitioner · Clarksville, IN
NPI 1497436141 · NPPES record last updated May 19, 2025
Key facts
- NPI
- 1497436141
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 71014154A (IN)
- Practice address
- 305 E Lewis and Clark Pkwy
Clarksville, IN 47129-1758 - Phone
- (812) 590-7230
- NPI assigned
- Jul 26, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kiosk Medicine Kentucky LLC
Little Clinic of in LLC
Practice addresses (Care Compare)
12501 Shelbyville Rd
Middletown, KY 40243-1530
Phone (502) 253-2047
1265 Goss Ave
Louisville, KY 40217-2271
Phone (502) 873-1260
185 Adam Shepherd Pkwy
Shepherdsville, KY 40165-6578
Phone (502) 921-5450
2440 Bardstown Rd
Louisville, KY 40205-2123
Phone (502) 632-0984
2835 S Hwy 393
La Grange, KY 40031-9613
Phone (502) 530-4812
3039 Breckenridge LN
Louisville, KY 40220-2101
Phone (502) 451-4555
5001 Mud LN
Louisville, KY 40229-2870
Phone (502) 962-0710
815 Highlander Point Dr
Floyds Knobs, IN 47119-9470
Phone (812) 923-7146
9440 Brownsboro Rd
Louisville, KY 40241-1200
Phone (502) 618-8317
9501 County Rd
Suite 403
Charlestown, IN 47111-8939
Phone (812) 256-2338
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.72 of 100
- Quality
- 66.02
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.72
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.89 of 100
- Quality
- 67.99
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.32
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in 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 |
|---|---|---|---|---|
| I20230731003297 | IN | Practitioner - Nurse Practitioner | 0547621021 | Reassigns benefits to 1 organization |
| I20230815000883 | KY | Practitioner - Nurse Practitioner | 0547621021 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71014154A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Little Clinic of in LLC | Family | Current |
Accepting new patients |
| Kiosk Medicine Kentucky LLC | Family | Current |
Accepting new patients |
Locations
305 E Lewis and Clark Pkwy
Clarksville, IN 47129
Phone (812) 590-7230
815 Highlander Point Dr
Floyds Knobs, IN 47119
Phone (812) 923-7146
3039 Breckenridge Ln
Louisville, KY 40220
Phone (502) 451-4555
Interoperability endpoints
- micah.allen@krogerhealth.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4007695 | KY | |
| Family Nurse Practitioner | 363LF0000X | 71014154A | IN | Yes |
Addresses
Primary practice location
305 E Lewis and Clark Pkwy
Clarksville, IN 47129-1758
Mailing address
2620 Elm Hill Pike
Nashville, TN 37214-3108
Phone (812) 590-7230
Other practice location 1
3039 Breckenridge Ln
Louisville, KY 40220-2101
Phone (502) 451-4555
Other providers in Clarksville, IN
- Julia Adams
- Agilitas USA, Inc
- Amanda Albertson
- Alexis Alexander
- Vivian Ann Allen-Baer
- America'S Best Contacts & Eyeglasses
- Amg of Kentuckiana Medical Center LLC
- Andrew Ammerman
- Channel L Anderson
- Corrine Elizabeth Anderson
All providers in Clarksville, IN · Family Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2025. 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.