NPIMap

Individual provider Active NPI

Micah Greenwell, APRN

  • Family Nurse Practitioner
  • Bardstown, KY
National Provider Identifier
1740692193
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3008513 Issued in KY
Practice address
4371 New Shepherdsville Rd
Bardstown, KY 40004-8040
Phone
(502) 350-1022
Fax
(502) 350-1023
NPI assigned
May 20, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 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 Practitioner 363LF0000X 3008513 KY Primary

Addresses

Primary practice location

4371 New Shepherdsville Rd
Bardstown, KY 40004-8040

Mailing address

PO Box 936
London, KY 40743-0936
Phone (606) 330-7835

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140717001189 KY Practitioner - Nurse Practitioner 6507082161 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kentuckyone Health Medical Group IncGroup PAC ID 8820993702, 260 clinicians

Practice addresses (Care Compare)

1401 Harrodsburg Rd
Suite A300
Lexington, KY 40504-3787
Phone (859) 276-4429

2750 Battlefield Memorial Hwy
Berea, KY 40403-8332
Phone (859) 968-0302

305 Estill St
Berea, KY 40403-1742
Phone (859) 986-8418

4371 New Shepherdsville Rd
Bardstown, KY 40004-8040
Phone (502) 350-1022

Hospital & facility affiliations

  • Vna Health at Home Home health agency, Louisville, KY, CCN 187000
  • CHI Saint Joseph Flaget Memorial Hospital Hospital, Bardstown, KY, CCN 180025
  • Baptist Health Hardin Hospital, Elizabethtown, KY, CCN 180012
  • UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Hospital, Louisville, KY, CCN 180040

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3008513KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Flaget Healthcare Inc CurrentSince Oct 1, 2025 Accepting new patients
Flaget Healthcare, Inc CurrentSince Oct 1, 2025 Accepting new patients
Kentuckyone Health Medical Group, Inc. CurrentSince Jun 16, 2014 Accepting new patients
Neurosurgical Associates PSC Current Accepting new patients
Flaget Healthcare Inc Current Accepting new patients

Locations

110 S Salem Dr
Bardstown, KY 40004
Phone (502) 350-5081

4305 New Shepherdsville Rd
Bardstown, KY 40004
Phone (502) 350-5000

4371 New Shepherdsville Rd
Bardstown, KY 40004
Phone (502) 348-5685

4371 New Shepherdsville Rd
Fl 2
Bardstown, KY 40004
Phone (502) 350-1302

118 Patriot Dr
Ste 102
Bardstown, KY 40004
Phone (502) 350-1022

305 Estill St
Berea, KY 40403
Phone (859) 986-1415

1401 Harrodsburg Rd
Ste A300
Lexington, KY 40504
Phone (859) 313-4744

6801 Dixie Hwy
Ste 130
Louisville, KY 40258
Phone (502) 315-1458

Interoperability endpoints

  • Direct secure messaging: micahgreenwell@kysjhspe.allscriptsdirect.net
  • Direct secure messaging: mgreenwell271309@direct.stlukeshealth.org

Organizations & group practices 5

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 25

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1400544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1740692193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407430936",
            "telephone_number": "606-330-7835",
            "fax_number": "502-350-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4371 NEW SHEPHERDSVILLE RD",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400048040",
            "telephone_number": "502-350-1022",
            "fax_number": "502-350-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWELL",
        "first_name": "MICAH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-20",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3008513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bardstown, KY

Sources for this page

Verify at the official NPI Registry.