NPIMap

Individual provider Active NPI

Mary Ellen Pawley, RN MSN APRN BC FNP

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1598939852
Registry record updated Jul 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3005469 Issued in KY
Practice address
1505 S 7TH St
Louisville, KY 40208-1710
Phone
(502) 637-1005
Fax
(502) 637-5631
NPI assigned
Apr 17, 2008
Last updated
Jul 21, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3005469 KY Primary

Addresses

Primary practice location

1505 S 7TH St
Louisville, KY 40208-1710

Mailing address

1505 S 7TH St
Louisville, KY 40208-1710
Phone (502) 637-1005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081025000010 KY Practitioner - Nurse Practitioner 3274691811 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health Physicians Group of Kentucky, PLLCGroup PAC ID 5991105330, 14 clinicians

Practice addresses (Care Compare)

5743 Preston Hwy
Louisville, KY 40219-1305
Phone (502) 444-6008

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
5469KYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health Physicians Group of Kentucky, PLLC Family CurrentSince Aug 1, 2022 Accepting new patients
Amin's Family Practice Associates , PSC Family CurrentSince Jul 21, 2014 Accepting new patients
Oak Street Health Physicians Group of South Carolina, LLC Family PastSince Aug 1, 2022 Accepting new patients

Locations

208 Legends Ln
Ste 160
Lexington, KY 40505
Phone (859) 201-9870

10100 Dixie Hwy
Louisville, KY 40272
Phone (502) 637-1005

1505 S 7th St
Louisville, KY 40208
Phone (502) 637-1005

1731 Dixie Hwy
Louisville, KY 40210
Phone (502) 444-6016

5743 Preston Hwy
Louisville, KY 40219
Phone (502) 444-6008

7926 Preston Hwy
Ste 103
Louisville, KY 40219
Phone (502) 309-9811

Interoperability endpoints

  • Direct secure messaging: marypawley@amins.allscriptsdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405900800000",
    "number": "1598939852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 S 7TH ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402081710",
            "telephone_number": "502-637-1005",
            "fax_number": "502-637-5631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 S 7TH ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402081710",
            "telephone_number": "502-637-1005",
            "fax_number": "502-637-5631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAWLEY",
        "first_name": "MARY",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "RN MSN APRN BC FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-17",
        "last_updated": "2014-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3005469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.