Individual provider Active NPI

Laura Elizabeth Wilhem Manley, APRN

  • Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1649547415
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3007248 Issued in KY
Practice address
9113 Leesgate Rd
Louisville, KY 40222-5003
Phone
(502) 426-1621
Fax
(502) 426-7906
NPI assigned
Nov 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3007248 KY Primary

Addresses

Primary practice location

9113 Leesgate Rd
Louisville, KY 40222-5003

Mailing address

9800 Shelbyville Rd Ste 220
Louisville, KY 40223-2992
Phone (502) 429-8585

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
I20120121000076 KY Practitioner - Nurse Practitioner 1951578582 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PSF PLLCGroup PAC ID 1557265543, 98 clinicians

Practice addresses (Care Compare)

111 Wildflower Lane
Suite a
Campbellsville, KY 42718-3362
Phone (270) 469-3408

3930 Dupont Cir
Louisville, KY 40207-4806
Phone (502) 421-1621

9800 Shelbyville Rd
Suite 220
Louisville, KY 40223-2992

Merit-based Incentive Payment System (MIPS)

Final score
84.25 of 100Reported as group
Quality
86.03
Promoting interoperability
86
Improvement activities
40
Cost
73.15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: wilhem.laura.002.0170024@faa.meditab.direct-ci.com
  • Direct secure messaging: wilhem.laura.006.0170024@faa.meditab.direct-ci.com
  • Direct secure messaging: wilhem.laura.007.0170024@faa.meditab.direct-ci.com
  • Direct secure messaging: wilhem.laura.008.0170024@faa.meditab.direct-ci.com
  • Direct secure messaging: wilhem.laura.003.0170024@faa.meditab.direct-ci.com
  • Direct secure messaging: wilhem.laura.004.0170024@faa.meditab.direct-ci.com
  • Direct secure messaging: wilhem.laura.005.0170024@faa.meditab.direct-ci.com
  • Direct secure messaging: wilhem.laura.001.0170024@faa.meditab.direct-ci.com

Organizations & group practices 1

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": "1321920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1649547415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 SHELBYVILLE RD STE 220",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402232992",
            "telephone_number": "502-429-8585",
            "fax_number": "502-429-6157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9113 LEESGATE RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402225003",
            "telephone_number": "502-426-1621",
            "fax_number": "502-426-7906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILHEM MANLEY",
        "first_name": "LAURA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-22",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3007248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.