Individual provider Active NPI

Tabitha Satterly-Welborn, APRN

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1508104258
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3007898 Issued in KY
Practice address
3900 Kresge Way
Suite 46
Louisville, KY 40207-4660
Phone
(502) 899-3858
Fax
(502) 899-3878
NPI assigned
Jan 30, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 3007898 KY
Family Nurse Practitioner 363LF0000X 71004367A IN
Family Nurse Practitioner 363LF0000X 3007898 KY Primary

Addresses

Primary practice location

3900 Kresge Way
Suite 46
Louisville, KY 40207-4660

Mailing address

PO Box 950248
Louisville, KY 40295-0248
Phone (502) 489-5730

Other identifiers 1

IdentifierTypeStateIssuer
7100239550MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tsatterlywelborn12389@bhkydirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130508000504 KY Practitioner - Nurse Practitioner 5395982458 Reassigns benefits to 2 organizations
I20130520000427 IN Practitioner - Nurse Practitioner 5395982458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

136 E Cottom Ave
New Albany, IN 47150-4604
Phone (502) 899-3858

3900 Kresge Way
Louisville, KY 40207-4681

3950 Kresge Way
Louisville, KY 40207-4637

4002 Kresge Way
Suite 110
Louisville, KY 40207-4605
Phone (502) 928-8700

Hospital & facility affiliations

  • Baptist Health Floyd Hospital, New Albany, IN, CCN 150044
  • Baptist Health Louisville Hospital, Louisville, KY, CCN 180130
  • Baptist Health Hardin Hospital, Elizabethtown, KY, CCN 180012
  • Baptist Health Lagrange Hospital, La Grange, KY, CCN 180138

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3007898KYMDAcute Care Nurse Practitioner
71004367AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. CurrentSince Feb 1, 2014 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jun 29, 2015 Accepting new patients
University of Louisville Physicians, Inc. Current Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Feb 1, 2014 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jun 29, 2015 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jun 29, 2015 Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

1919 State St
Ste 360
New Albany, IN 47150
Phone (502) 928-0900

1850 State St
New Albany, IN 47150
Phone (812) 944-7701

136 E Cottom Ave
New Albany, IN 47150
Phone (502) 583-8383

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

201 Abraham Flexner Way
Ste 1200
Louisville, KY 40202
Phone (502) 583-8383

2700 Stanley Gault Pkwy
Ste 129
Louisville, KY 40223
Phone (502) 253-4900

3900 Kresge Way
Ste 42
Louisville, KY 40207
Phone (502) 894-9499

601 S Floyd St
Ste 503
Louisville, KY 40202
Phone (502) 589-0802

3900 Kresge Way
Ste 46
Louisville, KY 40207
Phone (502) 810-8002

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1359504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1508104258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950248",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402950248",
            "telephone_number": "502-489-5730",
            "fax_number": "502-489-5753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 KRESGE WAY",
            "address_2": "SUITE 46",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074660",
            "telephone_number": "502-899-3858",
            "fax_number": "502-899-3878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATTERLY-WELBORN",
        "first_name": "TABITHA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-30",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "KY",
            "license": "3007898",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71004367A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3007898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100239550",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tsatterlywelborn12389@bhkydirect.com",
            "affiliation": "N",
            "address_1": "3900 Kresge Way Ste 42",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402074681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.