Individual provider Active NPI

Deborah Edelen, ARNP

  • Family Nurse Practitioner
  • Lancaster, KY
National Provider Identifier
1780643585
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3003219 Issued in KY
Practice address
510 N Camp Dick Rd
Lancaster, KY 40444-6301
Phone
(859) 548-8000
Fax
(859) 548-8030
NPI assigned
Mar 21, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 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 3003219 KY Primary

Addresses

Primary practice location

510 N Camp Dick Rd
Lancaster, KY 40444-6301

Mailing address

510 N Camp Dick Rd
Lancaster, KY 40444-6301
Phone (859) 548-8000

Other identifiers 1

IdentifierTypeStateIssuer
78004124MedicaidKY

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
I20061116000194 KY Practitioner - Nurse Practitioner 1456359926 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.36 of 100Reported as group
Quality
64.78
Promoting interoperability
100
Improvement activities
40
Cost
67.25

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ephraim McDowell Health Resource, Inc Family CurrentSince Sep 5, 2017 Accepting new patients
The James B. Haggin Memorial Hospital Inc Current Accepting new patients
Ephraim McDowell Health Resource, Inc. CurrentSince Sep 5, 2017 Accepting new patients
Ephraim McDowell Health Resource, Inc. Family Current Accepting new patients
The James B. Haggin Memorial Hospital Inc CurrentSince Apr 22, 2021 Accepting new patients
The James B. Haggin Memorial Hospital Inc Current Accepting new patients
Nick Dedman, MD and Associates, P.S.C. Family CurrentSince Jul 1, 2006 Accepting new patients
The James B. Haggin Memorial Hospital Inc Current Accepting new patients
The James B. Haggin Memorial Hospital Inc. CurrentSince Apr 22, 2021 Accepting new patients
Mercer Pediatrics PSC Past Accepting new patients
Ephraim McDowell Regional Medical Center Incorporated Past Accepting new patients

Locations

109 Daniel Dr
Danville, KY 40422
Phone (859) 236-3361

120 Daniel Dr
Danville, KY 40422
Phone (859) 236-0903

1541 Lebanon Rd
Ste 1
Danville, KY 40422
Phone (859) 236-3208

216 W Walnut St
Ste A
Danville, KY 40422
Phone (859) 239-5870

217 S 3rd St
Danville, KY 40422
Phone (859) 239-1000

464 Linden Ave
Harrodsburg, KY 40330
Phone (859) 734-5441

466 Linden Ave
Harrodsburg, KY 40330
Phone (606) 735-5123

466 Linden Ave
#A
Harrodsburg, KY 40330
Phone (859) 734-5173

466 Linden Ave
#B
Harrodsburg, KY 40330
Phone (859) 734-5123

510 N Camp Dick Rd
Lancaster, KY 40444
Phone (859) 548-8000

110 Metker Trl
Stanford, KY 40484
Phone (606) 365-3360

Organizations & group practices 11

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": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1780643585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 N CAMP DICK RD",
            "city": "LANCASTER",
            "state": "KY",
            "postal_code": "404446301",
            "telephone_number": "859-548-8000",
            "fax_number": "859-548-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 N CAMP DICK RD",
            "city": "LANCASTER",
            "state": "KY",
            "postal_code": "404446301",
            "telephone_number": "859-548-8000",
            "fax_number": "859-548-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDELEN",
        "first_name": "DEBORAH",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3003219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78004124",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, KY

Sources for this page

Verify at the official NPI Registry.