William Joseph Collins, APRN
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Sellersburg, IN
NPI 1720102312 · NPPES record last updated May 12, 2016
Key facts
- NPI
- 1720102312
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 3005507 (KY)
- Practice address
- 3042 Plantation Dr
Sellersburg, IN 47172-9136 - Phone
- (606) 776-6309
- Fax
- (606) 363-0141
- NPI assigned
- Mar 19, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- University of Alabama School of Medicine, 2006
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Lancaster Family Health Care
Family Practice Clinic of Booneville, Inc.
Practice addresses (Care Compare)
108 Lexington St
Lancaster, KY 40444-1156
Phone (859) 304-5258
200 Mulberry St
Booneville, KY 41314-7505
Phone (606) 593-6023
Hospital & facility affiliations
- Meadowview Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KY, IN
- 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 |
|---|---|---|---|---|
| I20091215000011 | KY | Practitioner - Nurse Practitioner | 4688773310 | Reassigns benefits to 4 organizations |
| I20140822000450 | IN | Practitioner - Nurse Practitioner | 4688773310 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209006516 | IL | MD | Psychiatric/Mental Health Nurse Practitioner |
| 3005507 | KY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Care Clinic PSC | Current |
Accepting new patients | |
| Mountain Family Practice Clinic of Manchester Inc | Current |
Accepting new patients | |
| Family Practice Clinic of Booneville, Inc. | Current |
Accepting new patients | |
| Harrison County Hospital | Current |
Accepting new patients | |
| Lancaster Family Health Care | Current |
Accepting new patients | |
| Harrison County Hospital | Current |
Accepting new patients | |
| Harrison County Hospital | Psychiatric/Mental Health | Past | Accepting new patients |
| Associates in Counseling and Psychtherapy | Past |
Accepting new patients | |
| Stephen Rivera LTD | Past | Accepting new patients | |
| Frontier Medical Associates of Paintsville Inc | Past | Accepting new patients |
Locations
1141 Hospital Dr NW
Corydon, IN 47112
Phone (812) 738-7830
5855 N Highway 11 SE
Elizabeth, IN 47117
Phone (812) 969-2959
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
- https://api.platform.athenahealth.com/3044/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 209006516 | IL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 3005507 | KY | Yes |
Addresses
Primary practice location
3042 Plantation Dr
Sellersburg, IN 47172-9136
Mailing address
PO Box 4100
Barboursville, WV 25504-4100
Phone (606) 776-6309
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50704000 | Other | MAGELLAN MIS GROUP # | |
| 000000640353 | Other | KY | ANTHEM PIN |
| 7100113670 | Medicaid | KY | |
| 000000056294 | Other | GROUP ANTHEM # | |
| CK2274 | Other | KY RR MEDICARE GROUP # | |
| P00793789 | Other | KY | RR MEDICARE |
| 78903689 | Medicaid | KY | |
| 1063415297 | Other | MD GROUP NPI | |
| 6764 | Other | KY GROUP MEDICARE # | |
| P00793789 | Other | KY | RAILROAD MEDICARE |
| 1487872636 | Other | ARNP GROUP NPI # | |
| 2444451000 | Other | KY | PASSPORT GROUP # |
Other providers in Sellersburg, IN
- Clark Physician Group LLC
- Clarksville Senior Living, LLC
- Sharon Kay Clemons
- Angela Coleman
- Lethia Annette Collins
- Elizabeth Jane Cunningham
- Eva De Fiesta
- Designing Smiles PSC
- Stephanie Jo Dethy
- Disbro Drugs Inc
All providers in Sellersburg, IN · Psychiatric/Mental Health Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2016. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.