Active NPI
Patrick Jordan Gregory, NP
- Nurse Practitioner
- Vanceburg, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 3016146
- Practice address
- 211 Ky 59
Vanceburg, KY 41179-7647 - Phone
- (606) 796-3029
- Fax
- (606) 796-6221
- NPI assigned
- Jun 2, 2021
- Last updated
- Feb 17, 2022
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN.CNP.0028942 | OH | |
| Nurse Practitioner | 363L00000X | 3016146 | KY | Primary |
| Paramedic | 146L00000X | 132793 | OH | |
| Registered Nurse | 163W00000X | 1141024 | KY | |
| Registered Nurse | 163W00000X | RN.403352 | OH |
Addresses
Primary practice location
211 Ky 59
Vanceburg, KY 41179-7647
Mailing address
PO Box 550
Vanceburg, KY 41179-0550
Phone (606) 796-3029
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
Practice addresses (Care Compare)
211 Ky
Suite 59
Vanceburg, KY 41179-7647
Phone (606) 796-3029
432 16TH St
Ashland, KY 41101-7693
Phone (859) 509-5636
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 132793 | OH | MD | Paramedic |
| 1141024 | KY | MD | Registered Nurse |
| RN.403352 | OH | MD | Registered Nurse |
| APRN.CNP.0028942 | OH | MD | Nurse Practitioner |
Interoperability endpoints
- patrick.gregory.1@13661.direct.athenahealth.com
Organizations & group practices 1
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.
-
dba PrimaryPlus
- Federally Qualified Health Center (FQHC)
- Vanceburg, KY
- NPI 1457303802
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portsmouth, OH
- NPI 1053342816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645056000000",
"number": "1598331282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 550",
"city": "VANCEBURG",
"state": "KY",
"postal_code": "411790550",
"telephone_number": "606-796-3029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 KY 59",
"city": "VANCEBURG",
"state": "KY",
"postal_code": "411797647",
"telephone_number": "606-796-3029",
"fax_number": "606-796-6221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREGORY",
"first_name": "PATRICK",
"middle_name": "JORDAN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-02",
"last_updated": "2022-02-17",
"certification_date": "2022-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "APRN.CNP.0028942",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "3016146",
"primary": true
},
{
"code": "146L00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Paramedic",
"state": "OH",
"license": "132793",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KY",
"license": "1141024",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN.403352",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vanceburg, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; 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.