Individual provider Active NPI

Nancy Joann Metzger, MD

  • Family Medicine Physician
  • Covington, KY
National Provider Identifier
1811958788
Registry record updated Aug 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
23660 Issued in KY
Practice address
2040 Madison Ave
Covington, KY 41014
Phone
(859) 491-7673
NPI assigned
Mar 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 23660 KY Primary

Addresses

Primary practice location

2040 Madison Ave
Covington, KY 41014

Mailing address

PO Box 635283
Cincinnati, OH 45263-5283
Phone (859) 344-5555

Other practice location 1

2093 Medical Arts Dr
1st Floor
Hebron, KY 41048-9315
Phone (859) 442-6600

Other practice location 2

2093 Medical Arts Dr
1st Floor
Hebron, KY 41048-9315
Phone (859) 442-6600

Other identifiers 3

IdentifierTypeStateIssuer
200407690MedicaidIN
64236607MedicaidKY
2389437MedicaidOH

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040921001097 KY Practitioner - Family Practice 5092783670 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
23660KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group, Inc. CurrentSince Jun 1, 1996 Accepting new patients
Summit Medical Group, Inc Family Medicine CurrentSince Jun 1, 1996 Accepting new patients

Locations

4341 Winston Ave
Covington, KY 41015
Phone (606) 431-7660

4900 Houston Rd
Florence, KY 41042
Phone (859) 212-5200

1980 Litton Ln
Hebron, KY 41048
Phone (859) 334-8700

2093 Medical Arts Dr
Hebron, KY 41048
Phone (859) 442-6600

2093 Medical Arts Dr
Fl 1
Hebron, KY 41048
Phone (859) 442-6600

2300 Chamber Center Dr
Ste 300
Lakeside Park, KY 41017

2300 Chamber Center Dr
Ste 200
Lakeside Park, KY 41017
Phone (859) 212-0039

300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217

Organizations & group practices 2

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": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564704000000",
    "number": "1811958788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 635283",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452635283",
            "telephone_number": "859-344-5555",
            "fax_number": "859-344-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 MADISON AVE",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "41014",
            "telephone_number": "859-491-7673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2093 Medical Arts Dr",
            "address_2": "1st Floor",
            "address_purpose": "LOCATION",
            "city": "Hebron",
            "state": "KY",
            "postal_code": "410489315",
            "country_code": "US",
            "telephone_number": "859-442-6600",
            "fax_number": "859-442-6601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2093 Medical Arts Dr",
            "address_2": "1st Floor",
            "address_purpose": "LOCATION",
            "city": "Hebron",
            "state": "KY",
            "postal_code": "410489315",
            "country_code": "US",
            "telephone_number": "859-442-6600",
            "fax_number": "859-442-6601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "METZGER",
        "first_name": "NANCY",
        "middle_name": "JOANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-30",
        "last_updated": "2019-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "23660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200407690",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64236607",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2389437",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, KY

Sources for this page

Verify at the official NPI Registry.