Individual provider Active NPI

Erica Henson

  • Family Nurse Practitioner
  • Campbellsville, KY
National Provider Identifier
1720747298
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3016930 Issued in KY
Practice address
70 Ubermonkey LN
Campbellsville, KY 42718-5217
Phone
(270) 465-0060
Fax
(270) 465-0134
NPI assigned
Dec 13, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 3016930 KY Primary

Addresses

Primary practice location

70 Ubermonkey LN
Campbellsville, KY 42718-5217

Mailing address

70 Ubermonkey LN
Campbellsville, KY 42718-5217
Phone (270) 465-0060

Other identifiers 1

IdentifierTypeStateIssuer
7100858940MedicaidKY

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
I20220502000709 KY Practitioner - Nurse Practitioner 4486041944 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Taylor Regional Medical Group LLCGroup PAC ID 4880616622, shared by 4 NPIs, 60 clinicians

Practice addresses (Care Compare)

1700 Old Lebanon Rd
Campbellsville, KY 42718-9662
Phone (270) 789-6116

70 Ubermonkey LN
Campbellsville, KY 42718-5217
Phone (270) 465-0134

Hospital & facility affiliations

  • Taylor Regional Hospital Hospital, Campbellsville, KY, CCN 180087

Merit-based Incentive Payment System (MIPS)

Final score
73.96 of 100Reported as group
Quality
62.41
Promoting interoperability
69
Improvement activities
40
Cost
71.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Taylor Regional Medical Group,LLC CurrentSince Feb 2, 2025 Accepting new patients
Signify Health, LLC Single Specialty CurrentSince Apr 27, 2022 Accepting new patients
Taylor Regional Medical Group LLC Single Specialty CurrentSince Nov 2, 2022 Accepting new patients
Taylor Regional Medical Group,LLC Single Specialty Current Accepting new patients
Taylor Regional Medical Group, LLC Family CurrentSince Nov 2, 2022 Accepting new patients
Taylor Regional Medical Group, LLC Single Specialty Current Accepting new patients

Locations

70 Ubermonkey Ln
Campbellsvlle, KY 42718
Phone (270) 465-0060

1698 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

95 Kingswood Dr
Campbellsvlle, KY 42718
Phone (270) 465-3812

67 Kingswood Dr
Campbellsvlle, KY 42718
Phone (270) 465-2116

1700 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1639353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1720747298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 UBERMONKEY LN",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427185217",
            "telephone_number": "270-465-0060",
            "fax_number": "270-465-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 UBERMONKEY LN",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427185217",
            "telephone_number": "270-465-0060",
            "fax_number": "270-465-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSON",
        "first_name": "ERICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-13",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3016930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100858940",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbellsville, KY

Sources for this page

Verify at the official NPI Registry.