Individual provider Active NPI

Gwendolyn Dawn Perch, APRN

  • Family Nurse Practitioner
  • Berea, KY
National Provider Identifier
1710644810
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3017059 Issued in KY
Practice address
234 Brenwood St
Berea, KY 40403-1637
Phone
(859) 985-0302
NPI assigned
Nov 23, 2021
Last updated
May 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3017059 KY Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3017059 KY

Addresses

Primary practice location

234 Brenwood St
Berea, KY 40403-1637

Mailing address

234 Brenwood St
Berea, KY 40403-1637
Phone (859) 200-5940

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
I20220315000481 KY Practitioner - Nurse Practitioner 1355736182 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Family Health Care Clinic PSCGroup PAC ID 7214927268, 8 clinicians
Lancaster Family Health CareGroup PAC ID 0446634216, 5 clinicians

Practice addresses (Care Compare)

1012 Ctr Dr
Richmond, KY 40475-3838
Phone (859) 626-9694

108 Lexington St
Lancaster, KY 40444-1156
Phone (859) 304-5258

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Care Clinic PSC Family CurrentSince Feb 24, 2024 Accepting new patients
Family Practice Clinic of Booneville, Inc. CurrentSince Feb 24, 2024 Accepting new patients
Mountain Family Practice Clinic of Manchester Inc CurrentSince Feb 24, 2024 Accepting new patients
Lancaster Family Health Care CurrentSince Feb 24, 2024 Accepting new patients

Locations

200 Mulberry St
#A
Booneville, KY 41314
Phone (606) 596-0701

108 Lexington St
Lancaster, KY 40444
Phone (859) 304-5258

108 Manchester Shopping Ctr
Manchester, KY 40962
Phone (606) 596-0701

1012 Center Dr
Richmond, KY 40475
Phone (859) 626-9694

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3044/brand/1/csg/1/fhir/r4

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 2

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": "1637625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1710644810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 BRENWOOD ST",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404031637",
            "telephone_number": "859-200-5940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 BRENWOOD ST",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404031637",
            "telephone_number": "859-985-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERCH",
        "first_name": "GWENDOLYN",
        "middle_name": "DAWN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-23",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3017059",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3017059",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berea, KY

Sources for this page

Verify at the official NPI Registry.