Aprn Ky PLLC
Organization Active NPI Adult Health Nurse Practitioner · Waco, KY
NPI 1497632343 · NPPES record last updated Aug 21, 2025
Key facts
- NPI
- 1497632343
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- Legal business name
- APRN KY PLLC
- Practice address
- 300 Sand Ridge Rd East
Waco, KY 40385-9754 - Phone
- (859) 302-6132
- NPI assigned
- Aug 20, 2025
- Organization subpart
- No
Authorized official
- Name
- Mrs. Kathryn Overberg, APRN
- Title
- Owner
- Phone
- (859) 302-6132
Practitioners 2
-
Kathryn B Overberg, APRN
-
Morgan Bunker, APRN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251014003962 | KY | Part B Supplier - Clinic/Group Practice | 3678060597 |
Receives reassigned benefits from 2 practitioners Practice locations: Waco, KY |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner |
363LA2200X | Yes |
Addresses
Primary practice location
300 Sand Ridge Rd East
Waco, KY 40385-9754
Mailing address
PO Box 122
Waco, KY 40385-0122
Phone (859) 302-6132
Other providers in Waco, KY
- Stephanie Michelle Abney
- Veronica House
- Jessica Jett
- April A. King
- Madison County Health Department
- Lucien Franklin McBrayer
All providers in Waco, KY · Adult Health 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 21, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.