Active NPI
Patricia Wong
- Family Nurse Practitioner
- Paducah, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3013314
- Practice address
- 867 McGuire Ave
Paducah, KY 42001-4036 - Phone
- (731) 394-1145
- NPI assigned
- Dec 10, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3013314 | KY | Primary |
Addresses
Primary practice location
867 McGuire Ave
Paducah, KY 42001-4036
Mailing address
PO Box 187
Elkton, KY 42220-0187
Phone (270) 265-2574
Other practice location 1
105 Elk Fork Rd
Elkton, KY 42220-7218
Phone (270) 265-2574
Other practice location 2
1700 Elmdale Rd
Paducah, KY 42003-5517
Phone (731) 394-1145
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
Enrollment records 1
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
Practice addresses (Care Compare)
901 N 12TH St
Murray, KY 42071-3632
Phone (931) 253-1110
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upperline Healthcare, PC | Current | Accepting new patients | |
| Fast Pace Kentucky PLLC | Family | Current | Accepting new patients |
| Brock Medical, LLC | Current | Accepting new patients | |
| Bell Clinic PLLC | Current | Accepting new patients | |
| Fast Pace Kentucky, PLLC | Current | Accepting new patients | |
| Fast Pace Kentucky PLLC | Current | Accepting new patients | |
| Upperline Healthcare, PC | Current | Accepting new patients | |
| Ultra Health LLC | Current | Accepting new patients | |
| Fast Pace Kentucky, PLLC | Past | Accepting new patients |
Locations
401 Main St
Benton, KY 42025
Phone (270) 906-0369
366 S Washington St
Clinton, KY 42031
Phone (270) 653-2461
105 Elk Fork Rd
Elkton, KY 42220
Phone (270) 265-2574
1475 Nashville Rd
Franklin, KY 42134
Phone (270) 813-1111
230 N Green St
Henderson, KY 42420
Phone (270) 854-3196
1649 Highway 192 W
London, KY 40741
Phone (606) 330-0055
1350 N Main St
Madisonville, KY 42431
Phone (270) 245-2554
901 N 12th St
Murray, KY 42071
Phone (270) 873-2022
1700 Elmdale Rd
Paducah, KY 42003
Phone (270) 534-9173
867 McGuire Ave
Paducah, KY 42001
Phone (270) 442-6168
115 Tradepark Dr
Ste A
Somerset, KY 42503
Phone (606) 678-5708
Interoperability endpoints
- https://api.platform.athenahealth.com/14578/brand/1/csg/1/fhir/r4
Organizations & group practices 9
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.
-
dba Fast Pace Urgent Care
- Family Nurse Practitioner
- Franklin, KY
- NPI 1457716706
-
dba Ultra Health Provders
- Geriatric Medicine (Internal Medicine) Physician
- Nashville, TN
- NPI 1922469543
KY
-
- Family Medicine Physician
- Elkton, KY
- NPI 1790935997
-
dba Fast Pace Health
- Rural Health Clinic/Center
- Spindale, NC
- NPI 1942027891
-
- Foot & Ankle Surgery Podiatrist
- Ocoee, FL
- NPI 1326906843
-
- Rural Health Clinic/Center
- Bardstown, KY
- NPI 1184381444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635292800000",
"number": "1780221648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 187",
"city": "ELKTON",
"state": "KY",
"postal_code": "422200187",
"telephone_number": "270-265-2574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "867 MCGUIRE AVE",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420014036",
"telephone_number": "731-394-1145"
}
],
"practiceLocations": [
{
"address_1": "105 Elk Fork Rd",
"address_purpose": "LOCATION",
"city": "Elkton",
"state": "KY",
"postal_code": "422207218",
"country_code": "US",
"telephone_number": "270-265-2574",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1700 Elmdale Rd",
"address_purpose": "LOCATION",
"city": "Paducah",
"state": "KY",
"postal_code": "420035517",
"country_code": "US",
"telephone_number": "731-394-1145",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WONG",
"first_name": "PATRICIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-10",
"last_updated": "2021-10-27",
"certification_date": "2021-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3013314",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.