Individual provider Active NPI

Amy Nicole Ledford, APRN

  • Family Nurse Practitioner
  • Jeffersonville, IN
National Provider Identifier
1790126696
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71004505A Issued in IN
Practice address
443 Spring St Ste 200
Jeffersonville, IN 47130-4494
Phone
(812) 288-8360
Fax
(812) 288-8375
NPI assigned
Jul 9, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3008155 KY
Family Nurse Practitioner 363LF0000X 71004505A IN Primary

Addresses

Primary practice location

443 Spring St Ste 200
Jeffersonville, IN 47130-4494

Mailing address

443 Spring St Ste 200
Jeffersonville, IN 47130-4494
Phone (812) 288-8360

Other practice location 1

443 Spring St Ste 301
Jeffersonville, IN 47130-4494
Phone (812) 288-8360

Other identifiers 2

IdentifierTypeStateIssuer
7100254340MedicaidKY
201182610MedicaidIN

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
I20130807001065 KY Practitioner - Nurse Practitioner 5294977047 Reassigns benefits to 1 organization
I20130919000757 IN Practitioner - Nurse Practitioner 5294977047 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Louisville Geriatric AssociatesGroup PAC ID 1557380086, shared by 2 NPIs, 8 clinicians

Practice addresses (Care Compare)

1015 Magazine St
Louisville, KY 40203-2017
Phone (812) 288-8360

443 Spring St
Suite 200
Jeffersonville, IN 47130-4494
Phone (812) 288-8360

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.41 of 100Reported as group
Quality
95.65
Promoting interoperability
100
Improvement activities
40
Cost
69.07

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3008155KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wall Street Medical Group Inpatient Services LLC Family CurrentSince Sep 8, 2024 Accepting new patients
Louisville Geriatric Associates Family CurrentSince Jun 16, 2013 Accepting new patients
Louisville Geriatric Associates Family CurrentSince Jun 16, 2013 Accepting new patients

Locations

443 Spring St
Ste 301
Jeffersonville, IN 47130

443 Spring St
Ste 200
Jeffersonvlle, IN 47130
Phone (812) 288-8375

73 Quartermaster Ct
Jeffersonvlle, IN 47130
Phone (812) 284-0077

3104 Blackiston Blvd
New Albany, IN 47150
Phone (502) 551-8305

1451 N Gardner St
Scottsburg, IN 47170
Phone (812) 752-8500

1015 Magazine St
Louisville, KY 40203
Phone (502) 589-0727

920 S 4th St
Louisville, KY 40203
Phone (502) 254-4200

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8360/brand/1/csg/1/fhir/r4
  • Direct secure messaging: amy.ledford.1@8360.direct.athenahealth.com

Organizations & group practices 3

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": "1373328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1790126696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 SPRING ST STE 200",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471304494",
            "telephone_number": "812-288-8360",
            "fax_number": "812-288-8375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 SPRING ST STE 200",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471304494",
            "telephone_number": "812-288-8360",
            "fax_number": "812-288-8375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "443 Spring St Ste 301",
            "address_purpose": "LOCATION",
            "city": "Jeffersonville",
            "state": "IN",
            "postal_code": "471304494",
            "country_code": "US",
            "telephone_number": "812-288-8360",
            "fax_number": "812-288-8375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEDFORD",
        "first_name": "AMY",
        "middle_name": "NICOLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-09",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3008155",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71004505A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100254340",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201182610",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeffersonville, IN

Sources for this page

Verify at the official NPI Registry.