Individual provider Active NPI

Dana Nall

  • Family Nurse Practitioner
  • Elkton, KY
National Provider Identifier
1558920488
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3013526 Issued in KY
Practice address
713 West Main Street Eklton, Ky 42220
Elkton, KY 42350
Phone
(270) 265-5353
NPI assigned
Jun 13, 2019
Last updated
Nov 21, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1112298 KY
Family Nurse Practitioner 363LF0000X 3013526 KY Primary

Addresses

Primary practice location

713 West Main Street Eklton, Ky 42220
Elkton, KY 42350

Mailing address

713 West Main Street Eklton, Ky 42220
Elkton, KY 42350

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
I20191223000544 KY Practitioner - Nurse Practitioner 7416381652 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohio County Hospital CorporationGroup PAC ID 3577477264, 84 clinicians

Practice addresses (Care Compare)

20 E McMurtry Ave
Hartford, KY 42347-1647
Phone (270) 504-1300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1112298KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brock Medical, LLC CurrentSince Feb 1, 2023 Accepting new patients
Ohio County Hospital Corporation Current Accepting new patients
Ohio County Hospital Corporation Current Accepting new patients
Ohio County Hospital Corporation CurrentSince Sep 18, 2023 Accepting new patients
Fast Pace Kentucky PLLC Family CurrentSince Feb 1, 2021 Accepting new patients
Fast Pace Kentucky PLLC CurrentSince Feb 1, 2023 Accepting new patients
Ohio County Hospital Corporation CurrentSince Sep 18, 2023 Accepting new patients
Fast Pace Kentucky, PLLC CurrentSince Feb 1, 2021 Accepting new patients
Ohio County Hospital Corporation Current Accepting new patients
Fast Pace Kentucky, PLLC Past Accepting new patients
Jennie Stuart Medical Center Inc PastSince Oct 16, 2019 Accepting new patients
Ohio County Hospital Corporation Past Accepting new patients

Locations

1313 N Main St
Beaver Dam, KY 42320
Phone (270) 274-9928

110 S 2nd St
Central City, KY 42330
Phone (270) 931-2059

44 W Main St
Fordsville, KY 42343
Phone (270) 276-3150

1475 Nashville Rd
Franklin, KY 42134
Phone (270) 813-1111

1211 Old Main St
Hartford, KY 42347
Phone (270) 298-3806

1215 Old Main St
Hartford, KY 42347
Phone (270) 298-5401

20 E McMurtry Ave
Hartford, KY 42347
Phone (270) 504-1300

1649 Highway 192 W
London, KY 40741
Phone (606) 330-0055

1350 N Main St
Madisonville, KY 42431
Phone (270) 245-2554

480 Indian Mound Dr
Mt Sterling, KY 40353
Phone (270) 245-2554

Organizations & group practices 12

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 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": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1558920488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 WEST MAIN STREET EKLTON, KY 42220",
            "city": "ELKTON",
            "state": "KY",
            "postal_code": "42350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 WEST MAIN STREET EKLTON, KY 42220",
            "city": "ELKTON",
            "state": "KY",
            "postal_code": "42350",
            "telephone_number": "270-265-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NALL",
        "first_name": "DANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-13",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "1112298",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3013526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, KY

Sources for this page

Verify at the official NPI Registry.