Individual provider Active NPI

Daniel C Albertson, ARNP

  • Nurse Practitioner
  • London, KY
National Provider Identifier
1689701898
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3003216 Issued in KY
Practice address
1105 W 5TH St
#3
London, KY 40741-1610
Phone
(606) 862-9900
Fax
(606) 862-8901
NPI assigned
Feb 27, 2007
Last updated
Oct 29, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3216P KY
Nurse Practitioner 363L00000X 3003216 KY Primary

Addresses

Primary practice location

1105 W 5TH St
#3
London, KY 40741-1610

Mailing address

1105 W 5TH St
#3
London, KY 40741-1610
Phone (606) 862-9900

Other identifiers 1

IdentifierTypeStateIssuer
78004249MedicaidKY

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
I20040622000071 KY Practitioner - Nurse Practitioner 2668457995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1105 W 5TH St
Suite 3
London, KY 40741-2150
Phone (606) 862-9900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.59 of 100Reported as individual
Quality
67.35
Promoting interoperability
77
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3003216KYMDNurse Practitioner
3216PKYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bluegrass Regional Foot and Ankle Associates PSC CurrentSince Jul 28, 2002 Accepting new patients
Bluegrass Regional Foot and Ankle Associates P S C Nurse Practitioner CurrentSince Aug 1, 2002 Accepting new patients
Human Service Agency PastSince Nov 14, 2012 Accepting new patients

Locations

1105 W 5th St
Ste 3
London, KY 40741
Phone (606) 862-9900

1690 Highway 192 W
London, KY 40741
Phone (606) 877-3231

Organizations & group practices 4

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 3

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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1689701898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 W 5TH ST",
            "address_2": "#3",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407411610",
            "telephone_number": "606-862-9900",
            "fax_number": "606-862-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 W 5TH ST",
            "address_2": "#3",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407411610",
            "telephone_number": "606-862-9900",
            "fax_number": "606-862-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBERTSON",
        "first_name": "DANIEL",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3216P",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3003216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78004249",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in London, KY

Sources for this page

Verify at the official NPI Registry.