Individual provider Active NPI

Perry Davis Babcock, APRN

  • Family Nurse Practitioner
  • Campbellsville, KY
National Provider Identifier
1750842167
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1174972 Issued in KY
Practice address
106 Winston Way
Campbellsville, KY 42718-4953
Phone
(270) 789-0034
Fax
(616) 582-3149
NPI assigned
Mar 28, 2019
Last updated
Nov 9, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F02190895 MI
Family Nurse Practitioner 363LF0000X 1174972 KY Primary

Addresses

Primary practice location

106 Winston Way
Campbellsville, KY 42718-4953

Mailing address

121 Watson CT
Campbellsville, KY 42718-9752
Phone (616) 610-0442

Other identifiers 1

IdentifierTypeStateIssuer
7100769310MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.onecrosshealth.com Health Information Exchange (HIE) One Cross Health Clinic Inc

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
I20220603001867 KY Practitioner - Nurse Practitioner 5395130843 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
One Cross Health Clinic IncGroup PAC ID 2466790472, 5 clinicians

Practice addresses (Care Compare)

106 Winston Way
Campbellsville, KY 42718-4953
Phone (270) 789-0034

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.9 of 100Reported as group
Quality
85.93
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1174972KYMDFamily Nurse Practitioner
F02190895MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
One Cross Community, Inc. CurrentSince Mar 10, 2025 Accepting new patients
One Cross Community, Inc. CurrentSince Mar 10, 2025 Accepting new patients
One Cross Health Clinic Inc CurrentSince Feb 2, 2022 Accepting new patients

Locations

101 Winston Way
Lot E
Campbellsvlle, KY 42718
Phone (270) 789-0034

102 Winston Way
Ste 5
Campbellsvlle, KY 42718
Phone (270) 789-0034

106 Winston Way
Campbellsvlle, KY 42718
Phone (270) 789-0034

429 W Walnut St
Lebanon, KY 40033
Phone (270) 295-1010

Organizations & group practices 3

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": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1750842167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 WATSON CT",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427189752",
            "telephone_number": "616-610-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 WINSTON WAY",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427184953",
            "telephone_number": "270-789-0034",
            "fax_number": "616-582-3149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABCOCK",
        "first_name": "PERRY",
        "middle_name": "DAVIS",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-28",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "F02190895",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "1174972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100769310",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.onecrosshealth.com",
            "affiliation": "Y",
            "endpointDescription": "Website",
            "affiliationName": "One Cross Health Clinic Inc",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "106 Winston Way",
            "city": "Campbellsville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "427184953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Campbellsville, KY

Sources for this page

Verify at the official NPI Registry.