Individual provider Active NPI

Keith Wright, FNP

  • Family Nurse Practitioner
  • Corydon, IN
National Provider Identifier
1720440233
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3010058 Issued in KY
Practice address
1141 Hospital Dr NW
Corydon, IN 47112-2164
Phone
(812) 738-4251
NPI assigned
Mar 23, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3010058 KY Primary

Addresses

Primary practice location

1141 Hospital Dr NW
Corydon, IN 47112-2164

Mailing address

PO Box 38
Corydon, IN 47112-0038
Phone (812) 738-4251

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address keith.wright@hcin.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160418001340 KY Practitioner - Nurse Practitioner 5496053910 Reassigns benefits to 1 organization
I20161114001256 IN Practitioner - Nurse Practitioner 5496053910 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. CurrentSince Apr 1, 2016 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Apr 1, 2016 Accepting new patients
University of Louisville Physicians, Inc Current Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Oct 12, 2016 Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

2051 Clevidence Blvd
Clarksville, IN 47129
Phone (812) 280-6650

3104 Blackiston Blvd
New Albany, IN 47150
Phone (502) 551-8305

220 Abraham Flexner Way
#300
Louisville, KY 40202
Phone (502) 540-1420

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

220 Abraham Flexner Way
Ste 1100
Louisville, KY 40202
Phone (502) 584-3377

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1720440233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471120038",
            "telephone_number": "812-738-4251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 HOSPITAL DR NW",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471122164",
            "telephone_number": "812-738-4251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "KEITH",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-23",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3010058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "keith.wright@hcin.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1141 Hospital Dr NW",
            "city": "Corydon",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471122164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corydon, IN

Sources for this page

Verify at the official NPI Registry.