Individual provider Active NPI

Lindsey M. Monin

  • Nurse Practitioner
  • Elizabethtown, KY
National Provider Identifier
1790132371
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3010301 Issued in KY
Practice address
2413 Ring Rd Ste 110
Elizabethtown, KY 42701-5924
Phone
(270) 765-4535
Fax
(270) 763-1901
NPI assigned
May 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 3010301 KY
Nurse Practitioner 363L00000X 3010301 KY Primary

Addresses

Primary practice location

2413 Ring Rd Ste 110
Elizabethtown, KY 42701-5924

Mailing address

2413 Ring Rd Ste 110
Elizabethtown, KY 42701-5924
Phone (270) 765-4535

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
I20160609000408 KY Practitioner - Nurse Practitioner 8628368339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primecare PSCGroup PAC ID 6507850500, 3 clinicians

Practice addresses (Care Compare)

2413 Ring Rd
Suite 110
Elizabethtown, KY 42701-5924
Phone (270) 765-4535

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3010301KYMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primecare PSC Nurse Practitioner CurrentSince Jun 20, 2016 Accepting new patients

Locations

1239 Woodland Dr
Ste 108
Elizabethtown, KY 42701
Phone (270) 765-4535

2413 Ring Rd
Ste 110
Elizabethtown, KY 42701
Phone (270) 765-4535

Interoperability endpoints

  • Direct secure messaging: lindsey.monin.1@22055.direct.athenahealth.com

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 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": "1464048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1790132371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2413 RING RD STE 110",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427015924",
            "telephone_number": "270-765-4535",
            "fax_number": "270-763-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2413 RING RD STE 110",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427015924",
            "telephone_number": "270-765-4535",
            "fax_number": "270-763-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONIN",
        "first_name": "LINDSEY",
        "middle_name": "M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-24",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "KY",
            "license": "3010301",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3010301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

Verify at the official NPI Registry.