Juawanna L Schuller, ARNP
Individual provider Active NPI Nurse Practitioner · Lexington, KY
NPI 1528036100 · NPPES record last updated Dec 2, 2020
Key facts
- NPI
- 1528036100
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 3002500 (KY)
- Practice address
- 4071 Tates Creek Centre Dr
Suite 100
Lexington, KY 40517-3062 - Phone
- (859) 273-3888
- Fax
- (859) 272-3256
- NPI assigned
- Mar 9, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Champion Physical Therapy Kentucky, LLC
Baptist Health Medical Group Inc
Practice addresses (Care Compare)
2835 S Hwy 27
Suite 286B
Somerset, KY 42501-3062
Phone (606) 302-2831
3900 Kresge Way
Suite 56
Louisville, KY 40207-4683
Phone (502) 895-7265
4071 Tates Creek Centre Dr
Suite 100
Lexington, KY 40517-3062
Phone (859) 273-3888
Hospital & facility affiliations
- Baptist Health Richmond
- Baptist Health Lexington
- Ephraim McDowell Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.29 of 100
- Quality
- 87.32
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled 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 |
|---|---|---|---|---|
| I20060301000186 | KY | Practitioner - Nurse Practitioner | 0547276560 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2500 | KY | MD | Registered Dietitian |
| 3002500 | KY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Care Associates, PSC | Current |
Accepting new patients | |
| Baptist Health Medical Group Inc | Nurse Practitioner | Current |
Accepting new patients |
| Baptist Health Medical Group Inc | Nurse Practitioner | Current |
Accepting new patients |
| Baptist Health Medical Group Inc | Nurse Practitioner | Past | Accepting new patients |
| Harrison Memorial Hospital | Past | Accepting new patients |
Locations
60 S Stewart Rd
Corbin, KY 40701
Phone (606) 258-8888
1210 KY Highway 36 E
Ste 2C
Cynthiana, KY 41031
Phone (859) 234-6000
1120 W Shelby St
#A
Falmouth, KY 41040
Phone (859) 654-6966
4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390
4071 Tates Creek Centre Dr
Ste 100
Lexington, KY 40517
Phone (859) 273-3888
1099 Duval St
Ste 100
Lexington, KY 40515
Phone (859) 273-3888
3900 Kresge Way
Ste 56
Louisville, KY 40207
Phone (502) 895-7265
2700 Stanley Gault Pkwy
Ste 129
Louisville, KY 40223
Phone (502) 253-4900
3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 3002500 | KY | Yes |
Addresses
Primary practice location
4071 Tates Creek Centre Dr
Suite 100
Lexington, KY 40517-3062
Mailing address
230 Lexington Green Cir
Ste 600
Lexington, KY 40503-3326
Phone (859) 971-4695
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 78007671 | Medicaid | KY |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jschuller4830@bhkydirect.com |
Other providers in Lexington, KY
- Carol Y Schroeder
- Thadler Schroeder
- Avery Schroyer
- Kevin Martin Schuer
- Sarah Ross Small Schuetz
- Bret Daniel Schultz
- Megan Anne Schultz
- Rachel Lynae Schultz
- Sarah Schultz
- Sarah Leigh Schulz
All providers in Lexington, KY · 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 Dec 2, 2020. 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.