Individual provider Active NPI

Patricia Wong

  • Family Nurse Practitioner
  • Paducah, KY
National Provider Identifier
1780221648
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3013314 Issued in KY
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

Updated by the provider on Oct 27, 2021

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200715003033 KY Practitioner - Nurse Practitioner 9234553850 Reassigns benefits to 4 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
Fast Pace Kentucky, PLLCGroup PAC ID 0143525998, 213 clinicians

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

OrganizationSpecialtyStatusNew patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Fast Pace Kentucky PLLC Family CurrentSince Dec 1, 2024 Accepting new patients
Brock Medical, LLC CurrentSince Dec 1, 2024 Accepting new patients
Bell Clinic PLLC CurrentSince Dec 1, 2019 Accepting new patients
Fast Pace Kentucky, PLLC CurrentSince Dec 1, 2024 Accepting new patients
Fast Pace Kentucky PLLC CurrentSince Dec 1, 2024 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Ultra Health LLC CurrentSince Oct 6, 2021 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.