Individual provider Active NPI

Madison Elizabeth Beckley, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1780341826
Registry record updated Jul 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3016442 Issued in KY
Practice address
721 S Preston St
Louisville, KY 40203-2319
Phone
(502) 583-1977
NPI assigned
Nov 23, 2021
Last updated
Jul 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2022

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 3016442 KY Primary

Addresses

Primary practice location

721 S Preston St
Louisville, KY 40203-2319

Mailing address

1334 Cherokee Rd Apt 8
Louisville, KY 40204-2252
Phone (502) 523-5591

Other practice location 1

630 Broadway St
Madison, IN 47250-3310
Phone (812) 801-0822

Other names 1

  • Madison Elizabeth Hall Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211216000855 KY Practitioner - Nurse Practitioner 0345631826 Reassigns benefits to 1 organization
I20220617002338 IN Practitioner - Nurse Practitioner 0345631826 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bluegrass Kidney Consultants PSCGroup PAC ID 0840357646, 19 clinicians

Practice addresses (Care Compare)

1919 State St
Suite 444
New Albany, IN 47150-6809
Phone (502) 583-1799

721 S Preston St
Louisville, KY 40203-2319
Phone (502) 583-1799

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Organizations & group practices 1

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 7

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": "1637625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1780341826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1334 CHEROKEE RD APT 8",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402042252",
            "telephone_number": "502-523-5591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 S PRESTON ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402032319",
            "telephone_number": "502-583-1977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "630 Broadway St",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "IN",
            "postal_code": "472503310",
            "country_code": "US",
            "telephone_number": "812-801-0822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BECKLEY",
        "first_name": "MADISON",
        "middle_name": "ELIZABETH",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-23",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3016442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADISON",
            "last_name": "HALL",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.