Emrie Agnew, MSPA
Individual provider Active NPI Physician Assistant · Louisville, KY
NPI 1669217436 · NPPES record last updated Oct 14, 2024
Key facts
- NPI
- 1669217436
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA3432 (KY)
- Practice address
- 3999 Dutchmans LN Ste 2E
Louisville, KY 40207-4748 - Phone
- (502) 559-6560
- NPI assigned
- Jun 25, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 14
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Medical Associates Inc
Practice addresses (Care Compare)
3999 Dutchmans LN
Suite 2E
Louisville, KY 40207-4748
Phone (502) 559-6560
4001 Dutchmans LN
Louisville, KY 40207-4714
Phone (502) 893-1270
4960 Norton Healthcare Blvd
Louisville, KY 40241-2831
Phone (502) 446-8125
825 Barret Ave
Louisville, KY 40204-1743
Phone (502) 272-5165
Hospital & facility affiliations
- Norton Hospitals, Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240909000285 | KY | Practitioner - Physician Assistant | 7315487147 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA3432 | KY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medical Associates, Inc. | Current |
Accepting new patients | |
| Community Medical Associates, Inc. | Physician Assistant | Current |
Accepting new patients |
Locations
3999 Dutchmans Ln
Ste 2E
Louisville, KY 40207
Phone (502) 559-6560
825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165
Interoperability endpoints
- eipsan157533@direct.nortonhealthcare.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Physician Assistant | 363A00000X | PA3432 | KY | Yes |
Addresses
Primary practice location
3999 Dutchmans LN Ste 2E
Louisville, KY 40207-4748
Mailing address
4801 Olympia Park PLZ Ste 3000
Louisville, KY 40241-0001
Other providers in Louisville, KY
- Agilitas USA, Inc
- Agilitas USA, Inc
- Agilitas USA, Inc.
- Trisha Jean Agle
- Misty Lynn Agne
- Arpit Agrawal
- Laila Saied Agrawal
- Mahesh Agrawal
- Ruchita Agrawal
- Emma Madison Aguayo
All providers in Louisville, KY · Physician Assistant in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.