Abigayle Idora Colon, MSN, APRN, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Russell Springs, KY
NPI 1629698485 · NPPES record last updated Oct 21, 2024
Key facts
- NPI
- 1629698485
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 3014571 (KY)
- Practice address
- 542 Steve Dr
Russell Springs, KY 42642-4601 - Phone
- (270) 858-3636
- Fax
- (270) 858-3660
- NPI assigned
- Apr 22, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- T J Health Columbia Inc
Practice addresses (Care Compare)
542 Steve Dr
Russell Springs, KY 42642-4601
Phone (270) 858-3636
Hospital & facility affiliations
- TJ Health Columbia
- Russell County Hospital
- T J Samson Community Hospital
- Mercy Medical Center
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 |
|---|---|---|---|---|
| I20210120002784 | KY | Practitioner - Nurse Practitioner | 0547674277 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3014571 | KY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| T J Health Columbia Inc | Family | Current | Accepting new patients |
| T J Health Columbia Inc | Current | Accepting new patients | |
| T J Health Columbia Inc | Current |
Accepting new patients | |
| Fast Pace Kentucky, PLLC | Current |
Accepting new patients | |
| T J Health Columbia Inc | Current |
Accepting new patients | |
| Signify Health, LLC | Nurse Practitioner | Current |
Accepting new patients |
| Fast Pace Kentucky PLLC | Family | Current |
Accepting new patients |
| T J Health Columbia Inc | Current |
Accepting new patients | |
| T J Health Columbia Inc | Current | Accepting new patients |
Locations
110 S 2nd St
Central City, KY 42330
Phone (270) 931-2059
197 Will Walker Rd
Columbia, KY 42728
Phone (270) 384-9981
901 Wellness Way
Columbia, KY 42728
Phone (270) 384-4753
1704 W Stockton St
Edmonton, KY 42129
Phone (270) 432-3111
1475 Nashville Rd
Franklin, KY 42134
Phone (270) 813-1111
312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023
542 Steve Dr
Russell Springs, KY 42642
Phone (270) 858-3636
150 N Highway 27
Somerset, KY 42503
Phone (606) 485-1021
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 3014571 | KY | |
| Family Nurse Practitioner | 363LF0000X | 3014571 | KY | Yes |
Addresses
Primary practice location
542 Steve Dr
Russell Springs, KY 42642-4601
Mailing address
PO Box 645996
Cincinnati, OH 45264-5996
Phone (270) 651-4444
Other practice location 1
197 Will Walker Rd
Columbia, KY 42728-7436
Phone (270) 384-9981
Other practice location 2
1704 W Stockton St
Edmonton, KY 42129-8137
Phone (270) 432-4800
Other providers in Russell Springs, KY
- Michael Burchett
- Staci Katherine Campbell
- Samantha Carroll
- Anita D Coffey
- Kendra Paige Collins
- Columbia Medical Equipment, Inc.
- Commonwealth Urology Russell Springs
- Bethany Victoria Cooper-Cundiff D.C.
- Leann Dalton Cooper
- Victor H Cooper
All providers in Russell Springs, KY · Family 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 Oct 21, 2024. 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.