Individual provider Active NPI

Ingrid Nelson, APRN

  • Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1659628469
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3007526 Issued in KY
Practice address
2360 Stony Brook Dr
Louisville, KY 40220-4018
Phone
(502) 446-5462
Fax
(502) 394-3670
NPI assigned
Aug 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 3007526 KY
Nurse Practitioner 363L00000X 3007526 KY Primary
Family Nurse Practitioner 363LF0000X 3007526 KY

Addresses

Primary practice location

2360 Stony Brook Dr
Louisville, KY 40220-4018

Mailing address

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

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address inelson153943@direct.nortonhealthcare.org
FHIR URL https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/

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
I20120924000091 KY Practitioner - Nurse Practitioner 8729236328 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
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)

2360 Stony Brook Dr
Louisville, KY 40220-4018
Phone (502) 446-5462

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

State licenses

LicenseStateTypeSpecialty
3007526KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. CurrentSince Dec 20, 2023 Accepting new patients
Community Medical Associates, Inc. Nurse Practitioner Current Accepting new patients

Locations

4240 Shelbyville Rd
Louisville, KY 40207
Phone (502) 446-5463

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

2021 Hikes Ln
Louisville, KY 40218
Phone (502) 446-5461

1930 Bishop Ln
Fl 12
Louisville, KY 40218
Phone (502) 272-5220

5100 Dixie Hwy
Louisville, KY 40216
Phone (502) 446-5460

2360 Stony Brook Dr
Louisville, KY 40220
Phone (502) 446-5462

1250 Bardstown Rd
Ste 8
Louisville, KY 40204
Phone (502) 456-7047

4950 Norton Healthcare Blvd
Louisville, KY 40241
Phone (502) 425-5556

12101 Shelbyville Rd
Middletown, KY 40243
Phone (502) 244-7037

Interoperability endpoints

  • Direct secure messaging: inelson153943@direct.nortonhealthcare.org

Organizations & group practices 2

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": "1344556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1659628469",
    "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",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 STONY BROOK DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402204018",
            "telephone_number": "502-446-5462",
            "fax_number": "502-394-3670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "INGRID",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-10",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "KY",
            "license": "3007526",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3007526",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3007526",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "inelson153943@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "2360 Stony Brook Dr",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402204018",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "2360 Stony Brook Dr",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402204018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.