Individual provider Active NPI

Kayce Danielle Daugherty, FNP-C

  • Family Nurse Practitioner
  • Crestview Hills, KY
National Provider Identifier
1750011284
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3017936 Issued in KY
Practice address
320 Thomas More Pkwy Ste 202
Crestview Hills, KY 41017-3456
Phone
(859) 331-0432
Fax
(859) 331-0956
NPI assigned
Jun 16, 2022
Last updated
Feb 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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 3017936 KY Primary

Addresses

Primary practice location

320 Thomas More Pkwy Ste 202
Crestview Hills, KY 41017-3456

Mailing address

PO Box 21890
Belfast, ME 04915-4115
Phone (502) 907-0356

Other identifiers 3

IdentifierTypeStateIssuer
300070854MedicaidIN
0009616MedicaidOH
7100855410MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kayce.daugherty.1@16521.direct.athenahealth.com Commonwealth Pain Associates, PLLC

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
I20220819002770 KY Practitioner - Nurse Practitioner 5092198242 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Commonwealth Pain Associates PLLCGroup PAC ID 0941441919, 156 clinicians

Practice addresses (Care Compare)

320 Thomas More Pkwy
Suite 202
Crestview Hills, KY 41017-3456
Phone (859) 331-0432

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.99 of 100Reported as group
Quality
81.97
Promoting interoperability
97
Improvement activities
40
Cost
77.29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3017936KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Pain Associates PLLC CurrentSince Feb 1, 2023 Accepting new patients
Kiosk Medicine Kentucky LLC Family CurrentSince Sep 22, 2022 Accepting new patients
Hansen Pain and Wellness CurrentSince Jul 7, 2024 Accepting new patients
Commonwealth Pain Associates, PLLC Family CurrentSince Feb 1, 2023 Accepting new patients

Locations

309 11th St
Carrollton, KY 41008
Phone (502) 732-3241

320 Thomas More Pkwy
Ste 202
Crestview Hills, KY 41017
Phone (513) 624-7246

340 Thomas More Pkwy
Ste 260
Crestview Hills, KY 41017
Phone (859) 957-0700

7685 Mall Rd
Florence, KY 41042
Phone (859) 795-5820

101 Prosperous Pl
Ste 300
Lexington, KY 40509
Phone (859) 271-3114

3039 Breckenridge Ln
Louisville, KY 40220
Phone (502) 451-4555

120 Executive Park
St Matthews, KY 40207
Phone (502) 409-9925

Interoperability endpoints

  • Direct secure messaging: kayce.daugherty@krogerhealth.eclinicaldirectplus.com

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 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": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1750011284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21890",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154115",
            "telephone_number": "502-907-0356",
            "fax_number": "502-919-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 THOMAS MORE PKWY STE 202",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410173456",
            "telephone_number": "859-331-0432",
            "fax_number": "859-331-0956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUGHERTY",
        "first_name": "KAYCE",
        "middle_name": "DANIELLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-16",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3017936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300070854",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009616",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100855410",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kayce.daugherty.1@16521.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Commonwealth Pain Associates, PLLC",
            "address_1": "320 Thomas More Pkwy Ste 202",
            "city": "Crestview Hills",
            "state": "KY",
            "country_code": "US",
            "postal_code": "410173456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Crestview Hills, KY

Sources for this page

Verify at the official NPI Registry.