NPIMap

Individual provider Active NPI

Marsha Ann Paul, APRN, FNP-C

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1770067183
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3012384 Issued in KY
Practice address
PO Box 4877
Louisville, KY 40204-0877
Phone
(502) 498-4977
NPI assigned
Sep 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 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 3012384 KY Primary

Addresses

Primary practice location

PO Box 4877
Louisville, KY 40204-0877

Mailing address

690 Castleman Branch Rd
Shepherdsville, KY 40165-9787
Phone (502) 428-7089

Other identifiers 1

IdentifierTypeStateIssuer
7100643730MedicaidKY

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
I20221227000292 KY Practitioner - Nurse Practitioner 5890120554 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CHM Mobile CareGroup PAC ID 8921505918, 9 clinicians

Practice addresses (Care Compare)

713 Main St
Suite a
Shelbyville, KY 40065-1239
Phone (804) 877-6601

Hospital & facility affiliations

  • Amedisys SP-Ky, LLC Dba Adoration Home Health Home health agency, Louisville, KY, CCN 187143
  • Amedisys SP-Ky, LLC Dba Adoration Home Health Home health agency, Louisville, KY, CCN 187171
  • Vna Health at Home Home health agency, Louisville, KY, CCN 187000
  • UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Hospital, Louisville, KY, CCN 180040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
CHM Mobile Care CurrentSince Oct 1, 2025 Accepting new patients
Nhome Family CurrentSince May 1, 2024 Accepting new patients

Locations

3499 Blazer Pkwy
Ste 330
Lexington, KY 40509
Phone (410) 885-4727

5129 Dixie Hwy
Ste 201
Louisville, KY 40216
Phone (502) 430-6223

1169 Eastern Pkwy
Ste 1128
Louisville, KY 40217
Phone (502) 498-4977

713 Main St
Ste A
Shelbyville, KY 40065
Phone (804) 877-6601

Interoperability endpoints

  • Direct secure messaging: marsha.paul@291824772775940.direct.elationemr.com

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 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": "1537401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1770067183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 CASTLEMAN BRANCH RD",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401659787",
            "telephone_number": "502-428-7089",
            "fax_number": "502-624-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 4877",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402040877",
            "telephone_number": "502-498-4977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "MARSHA",
        "middle_name": "ANN",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-20",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3012384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100643730",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.