Individual provider Active NPI

Susan Easley, APRN

  • Family Nurse Practitioner
  • Cloverport, KY
National Provider Identifier
1689466872
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1120444 Issued in KY
Practice address
516 Murray Ave
Cloverport, KY 40111-1238
Phone
(270) 863-1034
NPI assigned
May 21, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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 1120444 KY Primary

Addresses

Primary practice location

516 Murray Ave
Cloverport, KY 40111-1238

Mailing address

2645 Leitchfield Rd Ste 104
Elizabethtown, KY 42701-7349
Phone (270) 234-8180

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
I20260115004069 KY Practitioner - Nurse Practitioner 1951888361 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4810 B Spicewood Springs Rd
Austin, TX 78759-7838

5001 Spring Valley Rd
Suite 600
Dallas, TX 75244-3972

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1120444KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
BHG Lviii, LLC CurrentSince Sep 1, 2025 Accepting new patients
BHG Lviii, LLC CurrentSince Sep 1, 2025 Accepting new patients

Locations

1000 Ace Dr
Rm 100
Berea, KY 40403
Phone (859) 756-5006

2645 Leitchfield Rd
Ste 104
Elizabethtown, KY 42701
Phone (270) 234-8180

5001 Spring Vly
Ste 600E
Dallas, TX 75244

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1747785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1689466872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2645 LEITCHFIELD RD STE 104",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427017349",
            "telephone_number": "270-234-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 MURRAY AVE",
            "city": "CLOVERPORT",
            "state": "KY",
            "postal_code": "401111238",
            "telephone_number": "270-863-1034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASLEY",
        "first_name": "SUSAN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-21",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "1120444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cloverport, KY

Sources for this page

Verify at the official NPI Registry.