Individual provider Active NPI

Penny Levill

  • Acute Care Nurse Practitioner
  • Manitou, KY
National Provider Identifier
1649705708
Registry record updated Apr 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
3011279 Issued in KY
Practice address
465 Roscoe Veazey Rd
Manitou, KY 42436-9748
Phone
(270) 875-5819
NPI assigned
Apr 26, 2017
Last updated
Apr 26, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 3011279 KY Primary

Addresses

Primary practice location

465 Roscoe Veazey Rd
Manitou, KY 42436-9748

Mailing address

465 Roscoe Veazey Rd
Manitou, KY 42436-9748
Phone (270) 875-5819

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
I20170612001800 KY Practitioner - Nurse Practitioner 6204104490 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

900 Hospital Dr
Madisonville, KY 42431-1644
Phone (270) 825-5800

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Physician Services PC CurrentSince May 6, 2017 Accepting new patients
Baptist Health Deaconess Medical Group Inc CurrentSince Dec 1, 2024 Accepting new patients
Baptist Health Deaconess Medical Group Inc Current Accepting new patients
Baptist Health Deaconess Medical Group Inc Acute Care CurrentSince Dec 1, 2024 Accepting new patients
Baptist Health Deaconess Madisonville Inc Past Accepting new patients

Locations

310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612

800 Hospital Dr
Fl 2
Madisonville, KY 42431
Phone (270) 326-3900

900 Hospital Dr
Madisonville, KY 42431
Phone (270) 326-3900

360 Amsden Ave
Versailles, KY 40383
Phone (606) 873-3111

Organizations & group practices 5

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 1

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": "1493164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493164800000",
    "number": "1649705708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 ROSCOE VEAZEY RD",
            "city": "MANITOU",
            "state": "KY",
            "postal_code": "424369748",
            "telephone_number": "270-875-5819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 ROSCOE VEAZEY RD",
            "city": "MANITOU",
            "state": "KY",
            "postal_code": "424369748",
            "telephone_number": "270-875-5819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVILL",
        "first_name": "PENNY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-26",
        "last_updated": "2017-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "KY",
            "license": "3011279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manitou, KY

Sources for this page

Verify at the official NPI Registry.