NPIMap

Individual provider Active NPI

Audrey Marie Eckerle, APRN

  • Acute Care Nurse Practitioner
  • Danville, KY
National Provider Identifier
1538318290
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
5696P Issued in KY
Practice address
204 S 2ND St
Danville, KY 40422-1804
Phone
(859) 236-6300
Fax
(859) 236-6308
NPI assigned
Sep 17, 2008
Last updated
May 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 5696P KY Primary

Addresses

Primary practice location

204 S 2ND St
Danville, KY 40422-1804

Mailing address

150 War Admiral Ste 4
Danville, KY 40422-8690
Phone (859) 236-6300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081105000024 KY Practitioner - Nurse Practitioner 0648339770 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Kentucky Kidney Care LLCGroup PAC ID 2769927458, 4 clinicians

Practice addresses (Care Compare)

150 War Admiral
Suite 4
Danville, KY 40422-8690
Phone (859) 235-6300

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Kentucky Kidney Care LLC CurrentSince Jun 18, 2024 Accepting new patients

Locations

150 War Admiral
Ste 4
Danville, KY 40422
Phone (859) 235-6300

1451 Harrodsburg Rd
Ste D304
Lexington, KY 40504
Phone (859) 317-1673

Interoperability endpoints

  • Direct secure messaging: aeckerle288571@direct.stlukeshealth.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/JIHEDD

Organizations & group practices 1

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

Hospital & facility affiliations 11

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": "1221609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1538318290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 WAR ADMIRAL STE 4",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404228690",
            "telephone_number": "859-236-6300",
            "fax_number": "859-236-6308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 S 2ND ST",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404221804",
            "telephone_number": "859-236-6300",
            "fax_number": "859-236-6308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKERLE",
        "first_name": "AUDREY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-17",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "KY",
            "license": "5696P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, KY

Sources for this page

Verify at the official NPI Registry.