Kathy Lynne Vincent, APRN, NP-BC
Individual provider Active NPI Nurse Practitioner · Providence, KY
NPI 1598060899 · NPPES record last updated Mar 2, 2018
Key facts
- NPI
- 1598060899
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 3006796 (KY)
- Practice address
- 215 E Main St
Providence, KY 42450-1261 - Phone
- (270) 667-7017
- Fax
- (270) 667-9065
- NPI assigned
- Jan 18, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- University of South Alabama College of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kentucky Skin Cancer Center PLLC
Practice addresses (Care Compare)
2915 New Hartford Rd
Owensboro, KY 42303-1323
Phone (270) 842-1999
Hospital & facility affiliations
- Owensboro Health Regional Hospital
- Baptist Health Deaconess Madisonville
- Deaconess Hospital Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110330000244 | KY | Practitioner - Nurse Practitioner | 6103009022 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3006796 | KY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentucky Skin Cancer Center PLLC | Current |
Accepting new patients |
Locations
1818 Wallace Ct
#301
Bowling Green, KY 42103
Phone (270) 842-1999
2915 New Hartford Rd
Owensboro, KY 42303
Phone (270) 688-8060
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 3006796 | KY | Yes |
Addresses
Primary practice location
215 E Main St
Providence, KY 42450-1261
Mailing address
PO Box 37
Providence, KY 42450-0037
Phone (270) 667-7017
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201020300 | Medicaid | IN | |
| 7100155800 | Medicaid | KY |
Other providers in Providence, KY
- Christy Tapp
- Thrifty Home Medical
- Thrifty Pharmacy
- Thrifty Pharmacy, Inc
- Thrifty Pharmacy, Inc.
- Paige Warren
- Wayne C Cole
- Elizabeth Anne Wilcox
All providers in Providence, KY · Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.