Kristi Mahaffey Nord, M.D.
Individual provider Active NPI Neurology Physician · Louisville, KY
NPI 1790931301 · NPPES record last updated Mar 14, 2019
Key facts
- NPI
- 1790931301
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology Physician 2084N0400X
- License
- 43860 (KY)
- Practice address
- 401 E Chestnut St Unit 510
Louisville, KY 40202-5710 - Phone
- (502) 588-4800
- Fax
- (502) 588-4801
- NPI assigned
- Aug 14, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 21
Hospital & facility affiliations 10
Owned or controlled facilities with NPI records 7
Medicare Care Compare profile
- Specialty
- Neurology
- Education
- Pennsylvania State University College of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Deaconess Memorial Medical Center Inc
Deaconess Specialty Physicians, Inc
Practice addresses (Care Compare)
303 N Meridian St
Holland Family Medicine
Holland, IN 47541-9656
Phone (812) 536-3943
600 W 13TH St
Jasper, IN 47546-1881
Phone (812) 996-5781
600 W 13TH St
205 Memorial Neurology Associates
Jasper, IN 47546-1883
Phone (812) 996-5781
800 W 9TH St
Jasper, IN 47546-2514
Phone (812) 996-0188
Hospital & facility affiliations
- Memorial Hospital and Health Care Center
- Deaconess Hospital Inc
- Daviess Community Hospital
- Good Samaritan Hospital
- Owensboro Health Regional Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KY, IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 6
| Facility | Type | Role | Since |
|---|---|---|---|
| Deaconess Memorial Medical Center Inc |
Hospital | Corporate Director | Jan 1, 2024 |
| Martin County Health Center |
Rural health clinic | Corporate Director | Jan 1, 2024 |
| French Lick Family Medicine |
Rural health clinic | Corporate Director | Jan 1, 2024 |
| Loogootee Family Medicine |
Rural health clinic | Corporate Director | Jan 1, 2024 |
| Country Health Center |
Rural health clinic | Corporate Director | Jan 1, 2024 |
| Petersburg Family Medicine |
Rural health clinic | Corporate Director | Jan 1, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120618000322 | KY | Practitioner - Neurology | 0547459638 | Reassigns benefits to 2 organizations |
| I20120620000434 | IN | Practitioner - Neurology | 0547459638 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP20030277 | TX | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| University of Louisville Physicians, Inc. | Neurology | Current | Accepting new patients |
| Deaconess Specialty Physicians Inc | Current |
Accepting new patients | |
| University of Louisville Physicians, Inc. | Current |
Accepting new patients | |
| Deaconess Specialty Physicians Inc | Current |
Accepting new patients | |
| Deaconess Memorial Medical Center Inc | Current |
Accepting new patients | |
| University of Louisville Physicians, Inc. | Neurology | Current |
Accepting new patients |
| Deaconess Memorial Medical Center Inc | Current |
Accepting new patients | |
| Deaconess Memorial Medical Center Inc | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Current |
Accepting new patients | |
| Community Medical Associates, Inc. | Current |
Accepting new patients |
Locations
7752 Solution Ctr
Chicago, IL 60677
600 Mary St
Evansville, IN 47710
Phone (812) 450-2239
600 W 13th St
Ste 100
Jasper, IN 47546
Phone (812) 996-2345
600 W 13th St
Jasper, IN 47546
Phone (812) 482-7441
800 W 9th St
Jasper, IN 47546
Phone (812) 482-2345
401 E Chestnut St
Louisville, KY 40202
Phone (502) 588-4400
401 E Chestnut St
Unit 510
Louisville, KY 40202
Phone (502) 588-4800
825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165
571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700
Interoperability endpoints
- knord1051928@direct.deaconess.com
- knord@direct.mhhcc.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 01071049A | IN | |
| Neurology Physician | 2084N0400X | BP20030277 | TX | |
| Neurology Physician | 2084N0400X | 43860 | KY | Yes |
Addresses
Primary practice location
401 E Chestnut St Unit 510
Louisville, KY 40202-5710
Mailing address
PO Box 909
Louisville, KY 40201-0909
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000689395 | Other | KY | ANTHEM - NNS |
| P00889607 | Other | KY | MEDICARE RAILROAD KENTUCKY - NNS |
| 7100144920 | Medicaid | KY | |
| 201010010 | Medicaid | IN | |
| 50031018 | Other | KY | PASSPORT & PP ADVTG - NNS |
| 6214811 | Other | KY | CIGNA - NNS |
| 000057058S | Other | KY | HUMANA - NNS |
| 121031 | Other | KY | SIHO - NNS |
Other names
- Miss Kristi Elizabeth Mahaffey
Other providers in Louisville, KY
- Patrick Michael Noonan
- Saira Noor
- Noplis Psychiatry LLC
- Najma Y Nor
- Kelsey Scott Norcia
- Gregory Edward Nordloh
- Aldis E Norgello
- Norman a. Cummings, M.D.
- Norman D. Radtke, MD, PSC
- Amanda Norman
All providers in Louisville, KY · Neurology Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.