NPIMap

Individual provider Active NPI

Elizabeth R Krupiczewicz, APRN

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1649605502
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3008133 Issued in KY
Practice address
6420 Dutchmans Pkwy
Ste.200
Louisville, KY 40205
Phone
(502) 891-8300
NPI assigned
Sep 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3008133 KY Primary

Addresses

Primary practice location

6420 Dutchmans Pkwy
Ste.200
Louisville, KY 40205

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490

Other identifiers 1

IdentifierTypeStateIssuer
7100261140MedicaidKY

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address eshaypenny12666@direct.nortonhealthcare.org
FHIR URL https://epicsoap.nortonhealthcare.org/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131014001565 KY Practitioner - Nurse Practitioner 4385878925 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians

Practice addresses (Care Compare)

200 E Chestnut St
Louisville, KY 40202-1831
Phone (502) 893-1270

825 Barret Ave
Louisville, KY 40204-1743
Phone (502) 272-5165

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Family Current Accepting new patients
Community Medical Associates, Inc. CurrentSince Oct 1, 2013 Accepting new patients
Community Medical Associates, Inc. CurrentSince Oct 1, 2013 Accepting new patients
Community Medical Associates, Inc. Past Accepting new patients

Locations

25 W Main St
Austin, IN 47102
Phone (812) 252-9020

1263 Hospital Dr NW
Ste 210
Corydon, IN 47112
Phone (502) 636-7242

207 Sparks Ave
Ste 101
Jeffersonville, IN 47130
Phone (812) 280-7063

630 Broadway St
Ste 1A
Madison, IN 47250
Phone (502) 629-2935

1473 N Gardner St
Scottsburg, IN 47170
Phone (812) 752-0844

309 11th St
Carrollton, KY 41008
Phone (502) 732-3241

2410 Ring Rd
Ste 500
Elizabethtown, KY 42701
Phone (270) 765-5900

279 Kings Daughters Dr
Ste 204
Frankfort, KY 40601
Phone (502) 875-9885

207 Fairgrounds Rd
Hardinsburg, KY 40143
Phone (270) 580-2256

312 W High St
Lebanon, KY 40033
Phone (270) 692-0110

325 W Walnut St
Lebanon, KY 40033
Phone (270) 699-9500

4420 Dixie Hwy
Ste 118
Louisville, KY 40216
Phone (502) 447-3448

170 Dr Arla Way
Ste 101
Louisville, KY 40229
Phone (502) 888-1988

4123 Dutchmans Ln
Ste 301
Louisville, KY 40207
Phone (502) 896-2500

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

6420 Dutchmans Pkwy
Ste 200
Louisville, KY 40205
Phone (502) 891-8333

210 E Gray St
Ste 1002
Louisville, KY 40202
Phone (502) 584-2027

2355 Poplar Level Rd
Ste 200
Louisville, KY 40217
Phone (502) 365-2655

3101 Poplar Level Rd
Ste 101
Louisville, KY 40213
Phone (502) 636-7444

300 High Point Ct
Ste B
Mt Washington, KY 40047
Phone (502) 955-6129

150 Frankfort Rd
Ste 102C
Shelbyville, KY 40065
Phone (502) 882-8414

115 Huston Dr
Ste 1
Shepherdsville, KY 40165
Phone (502) 955-7311

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1649605502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-588-9490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 DUTCHMANS PKWY",
            "address_2": "STE.200",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40205",
            "telephone_number": "502-891-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUPICZEWICZ",
        "first_name": "ELIZABETH",
        "middle_name": "R",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-11",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3008133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100261140",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eshaypenny12666@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "6420 Dutchmans Pkwy",
            "address_2": "Ste.200",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "40205",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/",
            "affiliation": "N",
            "address_1": "6420 Dutchmans Pkwy",
            "address_2": "Ste.200",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "40205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.