Active NPI
Delisa Caudill, APRN
- Nurse Practitioner
- Prestonsburg, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN11033598
- Practice address
- 5322 Ky Route 321
Prestonsburg, KY 41653-9114 - Phone
- (606) 886-2712
- Fax
- (606) 886-2713
- NPI assigned
- Oct 3, 2014
- Last updated
- Aug 7, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN11033598 | FL | Primary |
| Family Nurse Practitioner | 363LF0000X | 3008916 | KY |
Addresses
Primary practice location
5322 Ky Route 321
Prestonsburg, KY 41653-9114
Mailing address
5322 Ky Route 321
Prestonsburg, KY 41653-9114
Phone (606) 886-2712
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dcaudill05@arh.medalliesdirect.net | Direct | |
| Direct Messaging Address | DeLisa.Caudill@img.directbygreenway.com | Direct |
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, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5000 Ky Route 321
Suite 1001
Prestonsburg, KY 41653-9113
Phone (606) 889-6390
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11033598 | FL | MD | Nurse Practitioner |
| 3008916 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intercoastal Medical Group Inc | Current | Accepting new patients |
Locations
3333 Cattlemen Rd
Ste 204
Sarasota, FL 34232
Phone (941) 342-8892
943 S Beneva Rd
Ste 306
Sarasota, FL 34232
Phone (941) 362-8644
921 S Beneva Rd
Sarasota, FL 34232
Phone (941) 365-7390
Interoperability endpoints
- delisa.caudill@img.directbygreenway.com
Organizations & group practices 2
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 ARH Primary Care Paintsville
- Multi-Specialty Clinic/Center
- Paintsville, KY
- NPI 1588328967
-
- Family Medicine Physician
- Sarasota, FL
- NPI 1578537767
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Highlands ARH Regional Medical Center
- General Acute Care Hospital
- Prestonsburg, KY
- NPI 1043878325
-
dba ARH Medical and Surgical Associates - Highlands
- Multi-Specialty Clinic/Center
- Prestonsburg, KY
- NPI 1700445319
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786060800000",
"number": "1629471602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5322 KY ROUTE 321",
"city": "PRESTONSBURG",
"state": "KY",
"postal_code": "416539114",
"telephone_number": "606-886-2712",
"fax_number": "606-886-2713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5322 KY ROUTE 321",
"city": "PRESTONSBURG",
"state": "KY",
"postal_code": "416539114",
"telephone_number": "606-886-2712",
"fax_number": "606-886-2713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAUDILL",
"first_name": "DELISA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-03",
"last_updated": "2026-08-07",
"certification_date": "2026-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN11033598",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3008916",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dcaudill05@arh.medalliesdirect.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Standard Direct Functionality",
"address_1": "5322 Ky Route 321",
"city": "Prestonsburg",
"state": "KY",
"country_code": "US",
"postal_code": "416539114",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "DeLisa.Caudill@img.directbygreenway.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "3333 Cattlemen Rd Ste 204",
"city": "Sarasota",
"state": "FL",
"country_code": "US",
"postal_code": "342326058",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Prestonsburg, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; 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.