Individual provider Active NPI

Christine M Schupp, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Prospect, KY
National Provider Identifier
1629774708
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3017967 Issued in KY
Practice address
5807 Harrods Glen Dr
Prospect, KY 40059-7650
Phone
(502) 419-0410
NPI assigned
Feb 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3017967 KY Primary

Addresses

Primary practice location

5807 Harrods Glen Dr
Prospect, KY 40059-7650

Mailing address

5807 Harrods Glen Dr
Prospect, KY 40059-7650

Other practice location 1

4331 Churchman Ave
Louisville, KY 40215-1164
Phone (502) 588-7600

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230216000322 KY Practitioner - Nurse Practitioner 9335511583 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

4331 Churchman Ave
Suite 101
Louisville, KY 40215-1164
Phone (502) 977-5907

Merit-based Incentive Payment System (MIPS)

Final score
78.96 of 100Reported as group
Quality
56.12
Promoting interoperability
100
Improvement activities
40
Cost
73.73

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3017967KYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. CurrentSince Oct 26, 2023 Accepting new patients
US Psychiatry PLLC CurrentSince Feb 1, 2023 Accepting new patients
University of Louisville Physicians, Inc. Current Accepting new patients
University of Louisville Physicians, Inc. Psychiatric/Mental Health CurrentSince Oct 26, 2023 Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

8521 La Grange Rd
Louisville, KY 40242
Phone (502) 426-5648

4331 Churchman Ave
Ste 101
Louisville, KY 40215
Phone (502) 364-0902

2020 Newburg Rd
Louisville, KY 40205
Phone (502) 315-1458

1405 Browns Ln
Louisville, KY 40207
Phone (502) 896-0495

220 Abraham Flexner Way
#U
Louisville, KY 40202

1850 Bluegrass Ave
#U
Louisville, KY 40215

200 Abraham Flexner Way
#U
Louisville, KY 40202
Phone (502) 797-3338

2020 Newburg Rd
#U
Louisville, KY 40205

Interoperability endpoints

  • Direct secure messaging: cschupp38858@uoflhealth-dm.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1675209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1629774708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5807 HARRODS GLEN DR",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "400597650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5807 HARRODS GLEN DR",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "400597650",
            "telephone_number": "502-419-0410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4331 Churchman Ave",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402151164",
            "country_code": "US",
            "telephone_number": "502-588-7600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHUPP",
        "first_name": "CHRISTINE",
        "middle_name": "M",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-01",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3017967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prospect, KY

Sources for this page

Verify at the official NPI Registry.