NPIMap

Individual provider Active NPI

Michelle Lynn King, APRN

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1659951911
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2021013944 Issued in KY
Practice address
12201 Bluegrass Pkwy
Louisville, KY 40299-2361
Phone
(877) 558-8181
NPI assigned
Apr 12, 2021
Last updated
Apr 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 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 2021013944 KY Primary

Addresses

Primary practice location

12201 Bluegrass Pkwy
Louisville, KY 40299-2361

Mailing address

27 Wall St
Stearns, KY 42647-6323
Phone (606) 310-6363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210709001054 KY Practitioner - Nurse Practitioner 9234531583 Reassigns benefits to 7 organizations
I20260623003125 OH Practitioner - Nurse Practitioner 9234531583 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Caremed Health Solutions of Kentucky, LLCGroup PAC ID 4880071299, 24 clinicians
Eventus Ecs, IncGroup PAC ID 2163969650, 243 clinicians
Wound Med LLCGroup PAC ID 2769916915, 33 clinicians
Extended Care Specialists, IncGroup PAC ID 2466407713, 295 clinicians
Eventus Wholehealth Midwest IncGroup PAC ID 4183040470, 120 clinicians
Southfork Medical Clinic PLLCGroup PAC ID 7012815616, 4 clinicians

Practice addresses (Care Compare)

1820 Oakview Rd
Ashland, KY 41101-3677
Phone (718) 534-0689

306 W Main St
Suite 512
Frankfort, KY 40601-1840
Phone (855) 743-2247

3550 Northfield Rd
Shaker Heights, OH 44122-5249
Phone (216) 752-5600

828 Lane Allen Rd
Suite 219
Lexington, KY 40504-3659
Phone (260) 483-9081

PO Box
Whitley City, KY 42653

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2021013944KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eventus Ecs, Inc CurrentSince Nov 1, 2025 Accepting new patients
Extended Care Specialists, Inc Family CurrentSince Nov 1, 2025 Accepting new patients
Lake Cumberland Physician Practices LLC CurrentSince Nov 15, 2021 Accepting new patients
Southfork Medical Clinic PLLC CurrentSince Dec 24, 2023 Accepting new patients
Caremed Health Solutions of Kentucky, LLC CurrentSince Mar 24, 2022 Accepting new patients
Eventus Wholehealth Midwest Inc CurrentSince Nov 1, 2025 Accepting new patients
Lake Cumberland Physician Practices LLC Family CurrentSince Nov 15, 2021 Accepting new patients
Lake Cumberland Physician Practices, LLC Current Accepting new patients
Southfork Medical Clinic PLLC Past Accepting new patients
Bradford Square Health Center LLC Past Accepting new patients

Locations

1820 Oakview Rd
Ashland, KY 41101
Phone (606) 325-5200

306 W Main St
Ste 512
Frankfort, KY 40601
Phone (860) 215-2295

828 Lane Allen Rd
Ste 219
Lexington, KY 40504
Phone (317) 782-1577

30 Tower Cir
Somerset, KY 42503
Phone (606) 451-8644

305 Medpark Dr
Somerset, KY 42503
Phone (606) 263-2912

353 Bogle St
Ste C
Somerset, KY 42503
Phone (606) 678-2220

71 Medical Ln
Whitley City, KY 42653
Phone (606) 376-7212

65 Ramapo Valley Rd
Ste 102B
Mahwah, NJ 07430
Phone (732) 300-0833

300 Tice Blvd
Ste 175
Woodcliff Lake, NJ 07677

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 4

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": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1659951911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 WALL ST",
            "city": "STEARNS",
            "state": "KY",
            "postal_code": "426476323",
            "telephone_number": "606-310-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12201 BLUEGRASS PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402992361",
            "telephone_number": "877-558-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-12",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "2021013944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.