Individual provider Active NPI

Paula W. Minervino, APRN

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1750738936
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3009824 Issued in KY
Practice address
4521 Outer Loop
Louisville, KY 40219-3856
Phone
(502) 653-5206
Fax
(877) 688-0102
NPI assigned
May 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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 3009824 KY Primary

Addresses

Primary practice location

4521 Outer Loop
Louisville, KY 40219-3856

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168

Other practice location 1

2406 W Broadway
Louisville, KY 40211-1008
Phone (502) 775-1211

Other practice location 2

4917 Dixie Hwy Ste E
Louisville, KY 40216-2565
Phone (502) 414-5043

Other identifiers 1

IdentifierTypeStateIssuer
7100412290MedicaidKY

Other names 1

  • Paula Lee Winters Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address paula.minervino.1@29601.direct.athenahealth.com

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
I20160615000625 KY Practitioner - Nurse Practitioner 6901197318 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4917 Dixie Hwy
Suite E
Louisville, KY 40216-2565
Phone (502) 414-5043

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Centers, Inc. CurrentSince Jul 11, 2016 Accepting new patients
PMR Ky Holding, LLC CurrentSince Jul 1, 2023 Accepting new patients
Family Health Centers, Inc. Current Accepting new patients
Family Health Centers, Inc. Current Accepting new patients
Centerwell Senior Primary Care (Ky) PSC CurrentSince Dec 18, 2025 Accepting new patients
Family Health Centers, Inc. CurrentSince Jul 11, 2016 Accepting new patients
Family Health Centers, Inc. Current Accepting new patients
Family Health Centers, Inc. Current Accepting new patients
Pearl Medical Practice PLLC PastSince Jan 31, 2021 Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

1000 Neighborhood Pl
Fairdale, KY 40118
Phone (502) 361-2381

712 E Muhammad Ali Blvd
Louisville, KY 40202
Phone (502) 568-6972

3151 S 2nd St
Louisville, KY 40208
Phone (502) 632-9313

2215 Portland Ave
Louisville, KY 40212
Phone (502) 774-8631

4615 Taylor Blvd
Louisville, KY 40215
Phone (502) 366-4747

4917 Dixie Hwy
Ste E
Louisville, KY 40216
Phone (502) 242-7559

2406 W Broadway
Louisville, KY 40211
Phone (502) 775-1211

4100 Taylor Blvd
Louisville, KY 40215
Phone (502) 361-2381

4521 Outer Loop
Louisville, KY 40219
Phone (502) 653-5206

834 E Broadway
Louisville, KY 40204
Phone (502) 583-1981

Organizations & group practices 10

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": "1463529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1750738936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4521 OUTER LOOP",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402193856",
            "telephone_number": "502-653-5206",
            "fax_number": "877-688-0102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2406 W Broadway",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402111008",
            "country_code": "US",
            "telephone_number": "502-775-1211",
            "fax_number": "502-443-9391",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4917 Dixie Hwy Ste E",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402162565",
            "country_code": "US",
            "telephone_number": "502-414-5043",
            "fax_number": "877-243-0175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINERVINO",
        "first_name": "PAULA",
        "middle_name": "W.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-18",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3009824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100412290",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "paula.minervino.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "4917 Dixie Hwy Ste E",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402162565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "PAULA",
            "last_name": "WINTERS",
            "middle_name": "LEE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.