Individual provider Active NPI

Aimee Heather Ballew, APRN, FNP-BC

  • Nurse Practitioner
  • Kotzebue, AK
National Provider Identifier
1598018012
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4001421 Issued in KY
Practice address
#733 2ND Avenue
Kotzebue, AK 99752
Phone
(907) 442-3321
NPI assigned
Oct 22, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN155152 GA
Nurse Practitioner 363L00000X 4001421 KY Primary
Nurse Practitioner 363L00000X ARNP9482434 FL

Addresses

Primary practice location

#733 2ND Avenue
Kotzebue, AK 99752

Mailing address

165 Blue Ridge Overlook
Blue Ridge, GA 30513-4431
Phone (706) 946-5607

Other names 1

  • Aimee Ballew Satterfield Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, TX, KY3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20140203000998 TN Practitioner - Nurse Practitioner 0042463689
I20230506000159 TX Practitioner - Nurse Practitioner 0042463689 Reassigns benefits to 1 organization
I20240715000141 KY Practitioner - Nurse Practitioner 0042463689 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bowling Green Warren County Primary Care Center, Inc.Group PAC ID 3779521612, 8 clinicians

Practice addresses (Care Compare)

225 Natchez Trace Ave
Bowling Green, KY 42103-7995
Phone (270) 783-3573

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17028TNMDPhysical Therapist
ARNP9482434FLMDNurse Practitioner
4001421KYMDNurse Practitioner
RN155152GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maniilaq Association CurrentSince Jan 24, 2023 Accepting new patients
Maniilaq Association Current Accepting new patients
Bowling Green Warren County Primary Care Center, Inc. CurrentSince May 11, 2024 Accepting new patients
Maniilaq Association CurrentSince Jan 24, 2023 Accepting new patients
Quality Primary Care P a Past Accepting new patients
Missouri CVS Pharmacy LLC PastSince Nov 1, 2020 Accepting new patients

Locations

615 7th Ave
Bowling Green, KY 42101
Phone (270) 783-3573

Organizations & group practices 6

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.

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": "1350864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1598018012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 BLUE RIDGE OVERLOOK",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305134431",
            "telephone_number": "706-946-5607",
            "fax_number": "706-374-7628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#733 2ND AVENUE",
            "city": "KOTZEBUE",
            "state": "AK",
            "postal_code": "99752",
            "telephone_number": "907-442-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLEW",
        "first_name": "AIMEE",
        "middle_name": "HEATHER",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-22",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN155152",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "4001421",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9482434",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AIMEE",
            "last_name": "SATTERFIELD",
            "middle_name": "BALLEW",
            "credential": "APRN, FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kotzebue, AK

Sources for this page

Verify at the official NPI Registry.