Individual provider Active NPI

Rhonda Hacker, APRN-PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Somerset, KY
National Provider Identifier
1568289486
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4027842 Issued in KY
Practice address
200 Belmont Ave
Somerset, KY 42501-2419
Phone
(606) 687-2038
Fax
(606) 200-3654
NPI assigned
Sep 23, 2024
Last updated
Jan 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4027842 KY Primary

Addresses

Primary practice location

200 Belmont Ave
Somerset, KY 42501-2419

Mailing address

609 Moore Rd
Williamsburg, KY 40769-2084
Phone (606) 521-6684

Other practice location 1

3277 US-25W
williamsburg, KY 40769
Phone (606) 549-8088

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
I20241204002252 KY Practitioner - Nurse Practitioner 9638605405 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jill L Bryant Aprn LLCGroup PAC ID 4789808387, 5 clinicians

Practice addresses (Care Compare)

2932 N Hwy 25W
Williamsburg, KY 40769-8633

2932N Hwy 25 W
Williamsburg, KY 40769-8633
Phone (606) 549-8088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspring Counseling Ky Psychiatric/Mental Health CurrentSince Dec 5, 2024 Accepting new patients
Wellsprings Wellness LLC Psychiatric/Mental Health CurrentSince Jan 31, 2025 Accepting new patients
Jill L Bryant Aprn LLC CurrentSince Nov 12, 2024 Accepting new patients
Kentucky Post-Acute Medical Services 1 PSC Psychiatric/Mental Health CurrentSince May 12, 2025 Accepting new patients

Locations

723 Burkesville Rd
Albany, KY 42602
Phone (606) 387-6421

55 Foundation Dr
Flemingsburg, KY 41041
Phone (606) 849-2351

200 Belmont Ave
Somerset, KY 42501
Phone (606) 678-2038

2932 N Highway 25 W
Williamsburg, KY 40769
Phone (606) 515-6051

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1568289486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 MOORE RD",
            "city": "WILLIAMSBURG",
            "state": "KY",
            "postal_code": "407692084",
            "telephone_number": "606-521-6684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BELMONT AVE",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425012419",
            "telephone_number": "606-687-2038",
            "fax_number": "606-200-3654"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3277 US-25W",
            "address_purpose": "LOCATION",
            "city": "williamsburg",
            "state": "KY",
            "postal_code": "40769",
            "country_code": "US",
            "telephone_number": "606-549-8088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HACKER",
        "first_name": "RHONDA",
        "credential": "APRN-PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-23",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "4027842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

Verify at the official NPI Registry.