Active NPI
Patrick James Kearney, NP
- Nurse Practitioner
- Evansville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71010962A
- Practice address
- 950 S Kenmore Dr Ste B
Evansville, IN 47714-7513 - Phone
- (812) 301-8110
- Fax
- (812) 401-4001
- NPI assigned
- Feb 8, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28215765A | IN | |
| Nurse Practitioner | 363L00000X | 71010962A | IN | Primary |
Addresses
Primary practice location
950 S Kenmore Dr Ste B
Evansville, IN 47714-7513
Mailing address
950 S Kenmore Dr Ste B
Evansville, IN 47714-7513
Phone (812) 301-8110
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Baptist Health Medical Group Inc
Practice addresses (Care Compare)
1851 N Main St
Madisonville, KY 42431-9024
Phone (270) 825-7268
200 Clinic Dr
Madisonville, KY 42431-1661
800 Hospital Dr
Madisonville, KY 42431-1658
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71010962A | IN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Deaconess Medical Group Inc | Nurse Practitioner | Current | Accepting new patients |
| Baptist Health Deaconess Medical Group Inc | Nurse Practitioner | Current | Accepting new patients |
| Baptist Health Deaconess Medical Group Inc | Current | Accepting new patients |
Locations
5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924
800 Hospital Dr
Fl 2
Madisonville, KY 42431
Phone (270) 326-3900
1851 N Main St
Madisonville, KY 42431
Phone (270) 821-7739
1010 Medical Center Dr
Powderly, KY 42367
Phone (270) 338-8000
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Madisonville, KY
- NPI 1437730942
Nurse Practitioner
-
- Rural Health Clinic/Center
- Madisonville, KY
- NPI 1144804311
-
dba Baptist Health Deaconess Madisonville Hospital Based Providers
- Hospitalist Physician
- Madisonville, KY
- NPI 1972320430
Nurse Practitioner
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Health Deaconess Madisonville
- Rural Acute Care Hospital
- Madisonville, KY
- NPI 1447231956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617148800000",
"number": "1568054922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 S KENMORE DR STE B",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477147513",
"telephone_number": "812-301-8110",
"fax_number": "812-401-4001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 S KENMORE DR STE B",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477147513",
"telephone_number": "812-301-8110",
"fax_number": "812-401-4001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEARNEY",
"first_name": "PATRICK",
"middle_name": "JAMES",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-08",
"last_updated": "2021-03-31",
"certification_date": "2021-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28215765A",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71010962A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.