Individual provider Active NPI

Kristin Baisch

  • Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1588068498
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3009008 Issued in KY
Practice address
1930 Bishop LN FL 12
Louisville, KY 40218-1921
Phone
(502) 272-5220
Fax
(502) 272-5117
NPI assigned
Oct 21, 2014
Last updated
Sep 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3009008 KY Primary
Family Nurse Practitioner 363LF0000X 3009008 KY

Addresses

Primary practice location

1930 Bishop LN FL 12
Louisville, KY 40218-1921

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490

Other identifiers 3

IdentifierTypeStateIssuer
7100324420MedicaidKY
300029166MedicaidIN
196290200OtherINMEDICARE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kbaisch41053@direct.nortonhealthcare.org
FHIR URL https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141120001609 KY Practitioner - Nurse Practitioner 1052533379 Reassigns benefits to 2 organizations
I20220718002780 IN Practitioner - Nurse Practitioner 1052533379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, shared by 2 NPIs, 1,368 clinicians

Practice addresses (Care Compare)

1930 Bishop LN
FL 12
Louisville, KY 40218-1921
Phone (502) 272-5220

2051 Clevidence Blvd
Suite B
Clarksville, IN 47129-2278
Phone (502) 629-2030

825 Barret Ave
Louisville, KY 40204-1743
Phone (502) 272-5165

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3009008KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Nurse Practitioner Current Accepting new patients
Community Medical Associates, Inc. Nurse Practitioner CurrentSince May 1, 2022 Accepting new patients
Community Medical Associates, Inc. Nurse Practitioner CurrentSince Dec 1, 2014 Accepting new patients
Community Medical Associates, Inc. Nurse Practitioner CurrentSince Dec 1, 2014 Accepting new patients

Locations

2051 Clevidence Blvd
Clarksville, IN 47129
Phone (812) 280-6650

2051 Clevidence Blvd
Ste B
Clarksville, IN 47129
Phone (502) 629-2030

1373 E State Road 62
#6F
Madison, IN 47250
Phone (502) 629-7181

1930 Bishop Ln
Fl 12
Louisville, KY 40218
Phone (502) 272-5220

4123 Dutchmans Ln
Ste 300
Louisville, KY 40207
Phone (502) 899-6700

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

Interoperability endpoints

  • Direct secure messaging: kbaisch41053@direct.nortonhealthcare.org

Organizations & group practices 5

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": "1413849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1588068498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 BISHOP LN FL 12",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402181921",
            "telephone_number": "502-272-5220",
            "fax_number": "502-272-5117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAISCH",
        "first_name": "KRISTIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-21",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3009008",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3009008",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100324420",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300029166",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "196290200",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kbaisch41053@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "1930 Bishop Ln Fl 12",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402181921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1930 Bishop Ln Fl 12",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402181921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.