Individual provider Active NPI

Hillary Woodward Carroll, APRN

  • Family Nurse Practitioner
  • Morehead, KY
National Provider Identifier
1629632401
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3017316 Issued in KY
Practice address
1028 E Main St
Morehead, KY 40351-1328
Phone
(606) 783-6400
Fax
(606) 783-6415
NPI assigned
Apr 26, 2019
Last updated
Apr 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3017316 KY
Family Nurse Practitioner 363LF0000X 209.019341 IL
Family Nurse Practitioner 363LF0000X 3017316 KY Primary

Addresses

Primary practice location

1028 E Main St
Morehead, KY 40351-1328

Mailing address

1028 E Main St
Morehead, KY 40351-1328
Phone (606) 783-6400

Other identifiers 1

IdentifierTypeStateIssuer
3017316OtherKYSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, KY2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20200617003189 IL Practitioner - Nurse Practitioner 8729400890 Reassigns benefits to 1 organization
I20220405000449 KY Practitioner - Nurse Practitioner 8729400890 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Claire Medical Center IncGroup PAC ID 4486559085, 181 clinicians

Practice addresses (Care Compare)

316 W 2ND St
Morehead, KY 40351-1550
Phone (606) 784-3771

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
73.64 of 100Reported as group
Quality
56.63
Improvement activities
40
Cost
74.98

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.019341ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kiosk Medicine Kentucky LLC Family CurrentSince May 4, 2022 Accepting new patients
St Claire Medical Center, Inc Current Accepting new patients
St. Claire Medical Center, Inc Nurse Practitioner Current Accepting new patients
St Claire Medical Center, Inc CurrentSince Apr 27, 2022 Accepting new patients
St. Claire Medical Center, Inc Nurse Practitioner Current Accepting new patients
Midwest Express Care 2, Inc CurrentSince May 28, 2020 Accepting new patients
Midwest Express Care 2, Inc CurrentSince May 28, 2020 Accepting new patients
St Claire Medical Center, Inc., Nurse Practitioner CurrentSince Apr 27, 2022 Accepting new patients
St Claire Medical Center, Inc., Family Current Accepting new patients
Midwest Express Care 2 Inc PastSince Jun 7, 2020 Accepting new patients

Locations

12200 Western Ave
Blue Island, IL 60406
Phone (630) 581-5372

40 75th St
Willowbrook, IL 60527
Phone (630) 326-5312

3101 Richmond Rd
Lexington, KY 40509
Phone (859) 268-9866

3039 Breckenridge Ln
Louisville, KY 40220
Phone (502) 451-4555

1028 E Main St
Morehead, KY 40351
Phone (606) 783-6400

222 Medical Cir
Morehead, KY 40351
Phone (606) 783-6455

245 Flemingsburg Rd
Morehead, KY 40351
Phone (606) 780-5500

316 W 2nd St
Morehead, KY 40351
Phone (606) 783-6400

Organizations & group practices 10

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 3

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": "1556236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1629632401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 E MAIN ST",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403511328",
            "telephone_number": "606-783-6400",
            "fax_number": "606-783-6415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 E MAIN ST",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403511328",
            "telephone_number": "606-783-6400",
            "fax_number": "606-783-6415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "HILLARY",
        "middle_name": "WOODWARD",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-26",
        "last_updated": "2022-04-26",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3017316",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.019341",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3017316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "3017316",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead, KY

Sources for this page

Verify at the official NPI Registry.