Cynthia R Wilson, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4410P Issued in KY

Practice address

1313 N Main St
Beaver Dam, KY 42320-8957

Phone

(270) 298-9928

Fax

(270) 274-0134

NPI assigned

Sep 22, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Norsworthy Medical Associates PSCGroup PAC ID 1355318080, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ohio County Hospital Hospital, Hartford, KY, CCN 181323

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Norsworthy Medical Associates PSC

  • Family Medicine Physician
  • Beaver Dam, KY
  • NPI 1346364734
  Medicare reassignment Care Compare group NPD
• Rivervalley Behavioral Health Inc

  • Community Health Clinic/Center
  • Owensboro, KY
  • NPI 1285689711
  Medicare reassignment NPD
• Ohio County Hospital Corporation

  • Surgery Physician
  • Hartford, KY
  • NPI 1407049000
  NPD
• Ohio County Hospital Corporation

  • Family Medicine Physician
  • Beaver Dam, KY
  • NPI 1942493275
  NPD
• Green River Regional Mental Health/Mental Retardation Board, Inc.

  • Psychiatric Residential Treatment Facility
  • Owensboro, KY
  • NPI 1356383111
  NPD (past)
• Green River Regional Mental Health/Mental Retardation Board, Inc.

  • Psychiatric Residential Treatment Facility
  • Owensboro, KY
  • NPI 1356383236
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ohio County Hospital Corporation

  • Critical Access Hospital
  • Hartford, KY
  • NPI 1629007430
  Care Compare affiliation

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1700872009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 148",
            "city": "HARTFORD",
            "state": "KY",
            "postal_code": "423470148",
            "telephone_number": "270-504-1300",
            "fax_number": "270-504-1380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 N MAIN ST",
            "city": "BEAVER DAM",
            "state": "KY",
            "postal_code": "423208957",
            "telephone_number": "270-298-9928",
            "fax_number": "270-274-0134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2211 Mayfair Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423014569",
            "country_code": "US",
            "telephone_number": "270-688-1352",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2801 Unifirst Dr",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423017701",
            "country_code": "US",
            "telephone_number": "270-713-0478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "CYNTHIA",
        "middle_name": "R",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-22",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4410P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78012713",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Nicole Vincent, APRN
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Amber Westerfield, MD
• Andrea Whitmer, LCSW
• Travis W. Wilson, D.M.D.
• Amanda Wright
• Lexi Ilene Wright, RDN

• Family Nurse Practitioner in Beaver Dam, KY
• Providers in Beaver Dam, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.