Individual provider Active NPI

Thomas L Stickler, APRN

  • Family Nurse Practitioner
  • Louisa, KY
National Provider Identifier
1780912915
Registry record updated Apr 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3006204 Issued in KY
Practice address
2483 Highway 644
Suite 107
Louisa, KY 41230-9242
Phone
(606) 638-7400
Fax
(606) 638-0468
NPI assigned
Nov 30, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2012

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 3006204 KY Primary

Addresses

Primary practice location

2483 Highway 644
Suite 107
Louisa, KY 41230-9242

Mailing address

PO Box 30
Louisa, KY 41230-0030
Phone (606) 638-7400

Other identifiers 3

IdentifierTypeStateIssuer
7100097770MedicaidKY
3032480MedicaidKY
3810016489MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 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
I20100112000314 KY Practitioner - Nurse Practitioner 1951442045 Reassigns benefits to 1 organization
I20251117000922 OH Practitioner - Nurse Practitioner 1951442045 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ashland Hospital CorporationGroup PAC ID 7719882521, shared by 6 NPIs, 169 clinicians
Premier Therapy and Health Centers IncGroup PAC ID 7416859574, shared by 6 NPIs, 263 clinicians

Practice addresses (Care Compare)

10650 US Route 60
Ashland, KY 41102-9611
Phone (606) 408-6301

12100 Princeland Dr
Ashland, KY 41102-7885
Phone (606) 928-2963

1908 N Ky
Suite 7
Sandy Hook, KY 41171-7172
Phone (606) 738-9339

2245 Winchester Ave
Ashland, KY 41101-7848
Phone (606) 406-2600

336 N Mayo TRL
Paintsville, KY 41240-1804
Phone (606) 789-8666

391 W Tom T Hall Blvd
Olive Hill, KY 41164-7688
Phone (606) 286-8039

609 N Carol Malone Blvd
Grayson, KY 41143-1123
Phone (606) 474-7892

710 N Carol Malone Boulevard
Grayson, KY 41143-1126
Phone (606) 474-0157

912 Park Ave
Ironton, OH 45638-1596
Phone (740) 534-0021

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.16 of 100Reported as group
Quality
77.42
Promoting interoperability
100
Improvement activities
40
Cost
77.62

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3006204KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ashland Hospital Corporation Current Accepting new patients
Ashland Hospital Corporation Family CurrentSince Sep 26, 2025 Accepting new patients
Ashland Hospital Corporation CurrentSince Nov 30, 2009 Accepting new patients
Ashland Hospital Corporation CurrentSince Nov 30, 2009 Accepting new patients

Locations

10650 US Route 60
Ashland, KY 41102
Phone (606) 408-6301

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

12100 Princeland Spur
Ashland, KY 41102
Phone (606) 928-2963

1908 N Ky 7
Sandy Hook, KY 41171
Phone (606) 738-9339

912 Park Ave
Ironton, OH 45638
Phone (740) 532-1100

384 County Road 120 S
South Point, OH 45680
Phone (740) 894-2080

Interoperability endpoints

  • Direct secure messaging: tstickler23914@direct.kdhealth.us

Organizations & group practices 4

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 1

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": "1259539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335744000000",
    "number": "1780912915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30",
            "city": "LOUISA",
            "state": "KY",
            "postal_code": "412300030",
            "telephone_number": "606-638-7400",
            "fax_number": "606-638-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2483 HIGHWAY 644",
            "address_2": "SUITE 107",
            "city": "LOUISA",
            "state": "KY",
            "postal_code": "412309242",
            "telephone_number": "606-638-7400",
            "fax_number": "606-638-0468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STICKLER",
        "first_name": "THOMAS",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-30",
        "last_updated": "2012-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3006204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100097770",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3032480",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810016489",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisa, KY

Sources for this page

Verify at the official NPI Registry.