Cynthia R Ware, APRN
Individual provider Active NPI Family Nurse Practitioner · Ekron, KY
NPI 1700898368 · NPPES record last updated Jun 25, 2024
Key facts
- NPI
- 1700898368
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 3002839 (KY)
- Practice address
- 2615 Flaherty Rd
Ekron, KY 40117-8805 - Phone
- (844) 435-0900
- Fax
- (270) 858-4029
- NPI assigned
- Aug 12, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
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 |
|---|---|---|---|---|
| I20240927003169 | KY | Practitioner - Nurse Practitioner | 1355530478 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cumberland Family Medical Center Inc | Current |
Accepting new patients | |
| Cumberland Family Medical Center Inc | Current |
Accepting new patients | |
| Cumberland Family Medical Center Inc | Past |
Accepting new patients | |
| Cumberland Family Medical Center Inc | Past | Accepting new patients | |
| Cumberland Family Medical Center Inc | Past |
Accepting new patients | |
| Cumberland Family Medical Center Inc | Past |
Accepting new patients | |
| Cumberland Family Medical Center Inc | Past |
Accepting new patients | |
| Cumberland Family Medical Center Inc | Past |
Accepting new patients | |
| Cumberland Family Medical Center Inc | Past |
Accepting new patients |
Locations
1075 Old Ekron Rd
Brandenburg, KY 40108
Phone (270) 422-7540
750 Broadway St
Brandenburg, KY 40108
Phone (270) 422-7545
938 Old State Rd
Brandenburg, KY 40108
Phone (270) 422-7515
1085 Old Ekron Rd
Brandenburg, KY 40108
Phone (270) 422-7530
360 Keen St
Burkesville, KY 42717
Phone (270) 864-1472
2500 Haysville Rd
Ekron, KY 40117
Phone (270) 422-7525
2615 Flaherty Rd
Ekron, KY 40117
Phone (270) 422-7565
2635 Flaherty Rd
Ekron, KY 40117
Phone (270) 422-7575
520 Rhodelia Rd
Payneville, KY 40157
Phone (270) 422-7550
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3002839 | KY | Yes |
Addresses
Primary practice location
2615 Flaherty Rd
Ekron, KY 40117-8805
Mailing address
PO Box 1080
Burkesville, KY 42717-1080
Phone (270) 858-6655
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000232256 | Other | KY | ANTHEM |
| 1164657 | Other | KY | PASSPORT |
| 15560077 | Other | KY | CAQH |
| 78008125 | Medicaid | KY | |
| 200399710 | Medicaid | IN | |
| 2439863000 | Other | KY | PASSPORT ADVANTAGE |
Other providers in Ekron, KY
- Cumberland Family Medical Center Inc
- Michelle Maria Jenkins
- Charity Danielle Mattingly
- Ashley Nicole Raisor
- Robin Lynn Terry
All providers in Ekron, KY · Family Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.