Individual provider Active NPI

Elizabeth Lena Jean Heaton, APRN

  • Primary Care Nurse Practitioner
  • Bardstown, KY
National Provider Identifier
1518596758
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
3014489 Issued in KY
Practice address
4359 New Shepherdsville Rd Unit 255
Bardstown, KY 40004-8004
Phone
(502) 350-5800
Fax
(502) 350-5820
NPI assigned
Apr 8, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X 3014489 KY Primary
Family Nurse Practitioner 363LF0000X 3014489 KY

Addresses

Primary practice location

4359 New Shepherdsville Rd Unit 255
Bardstown, KY 40004-8004

Mailing address

PO Box 936
London, KY 40743-0936
Phone (502) 350-5800

Other practice location 1

1310 Woodland Dr
Elizabethtown, KY 42701-2651
Phone (270) 706-1918

Other identifiers 1

IdentifierTypeStateIssuer
7100666810MedicaidKY

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
I20200515000813 KY Practitioner - Nurse Practitioner 2163853789 Reassigns benefits to 3 organizations

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
Flaget Healthcare IncGroup PAC ID 5890692024, 19 clinicians

Practice addresses (Care Compare)

110 S Salem Dr
Bardstown, KY 40004-1761
Phone (502) 350-5081

4305 New Shepherdsville Rd
Bardstown, KY 40004-9019
Phone (502) 350-5032

4359 New Shepherdsville Rd
Unit 100
Bardstown, KY 40004-8002
Phone (502) 350-5700

4359 New Shepherdsville Rd
Unit 255
Bardstown, KY 40004-8004
Phone (502) 350-5800

Hospital & facility affiliations

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

Practice roles

OrganizationSpecialtyStatusNew patients
Flaget Healthcare, Inc CurrentSince Mar 1, 2025 Accepting new patients
Baptist Health Medical Group Inc Single Specialty CurrentSince Sep 1, 2020 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Sep 1, 2020 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Mar 1, 2023 Accepting new patients
Flaget Healthcare Inc CurrentSince Mar 1, 2025 Accepting new patients
Flaget Healthcare Inc Single Specialty Current Accepting new patients
Baptist Health Medical Group Inc Single Specialty Current Accepting new patients

Locations

3615 E John Rowan Blvd
Ste 104
Bardstown, KY 40004
Phone (502) 331-4734

4359 New Shepherdsville Rd
Unit 255
Bardstown, KY 40004
Phone (502) 350-5800

4305 New Shepherdsville Rd
Bardstown, KY 40004
Phone (502) 350-5000

96 Future Dr
Corbin, KY 40701

1310 Woodland Dr
Elizabethtown, KY 42701
Phone (270) 706-1918

914 N Dixie Ave
Ste 302
Elizabethtown, KY 42701
Phone (270) 706-1943

913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

Interoperability endpoints

  • Direct secure messaging: eheaton403038@direct.stlukeshealth.org

Organizations & group practices 7

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 1

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": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1518596758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407430936",
            "telephone_number": "502-350-5800",
            "fax_number": "502-350-5820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4359 NEW SHEPHERDSVILLE RD UNIT 255",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400048004",
            "telephone_number": "502-350-5800",
            "fax_number": "502-350-5820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1310 Woodland Dr",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "KY",
            "postal_code": "427012651",
            "country_code": "US",
            "telephone_number": "270-706-1918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEATON",
        "first_name": "ELIZABETH",
        "middle_name": "LENA JEAN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-08",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "KY",
            "license": "3014489",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3014489",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100666810",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bardstown, KY

Sources for this page

Verify at the official NPI Registry.