Individual provider Active NPI

Kenny Ray Yancey, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Stearns, KY
National Provider Identifier
1831842152
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3017108 Issued in KY
Practice address
2157 S Highway 27
Stearns, KY 42647-6297
Phone
(606) 376-9700
Fax
(606) 376-9703
NPI assigned
Jan 27, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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 3017108 KY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3017108 KY Primary

Addresses

Primary practice location

2157 S Highway 27
Stearns, KY 42647-6297

Mailing address

PO Box 68
Stearns, KY 42647-0068
Phone (606) 376-9700

Other practice location 1

896 S Highway 25 W
Williamsburg, KY 40769-1691
Phone (606) 515-6124

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
I20220222002757 KY Practitioner - Nurse Practitioner 7719371400 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Primary & Urgent Care PLLC CurrentSince Aug 7, 2024 Accepting new patients
Mountainview Behavioral & Neuroscience Center LLC CurrentSince Mar 21, 2022 Accepting new patients
Kaleidoscope Insights CurrentSince Mar 21, 2022 Accepting new patients
Hope Primary & Urgent Care of Somerset PLLC CurrentSince Jul 30, 2025 Accepting new patients
Hope Primary & Urgent Care of Williamsburg PLLC CurrentSince Aug 7, 2024 Accepting new patients

Locations

298 Bogle St
#A
Somerset, KY 42503
Phone (606) 677-0094

110 Hardin Ln
Ste 1
Somerset, KY 42503
Phone (606) 305-3966

2157 S Highway 27
Stearns, KY 42647
Phone (606) 376-9700

896 S Highway 25 W
Williamsburg, KY 40769
Phone (606) 376-9700

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BIACBA

Organizations & group practices 5

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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hope Primary and Urgent Care PLLC 11 clinicians
Hope Primary and Urgent Care of Williamsburg PLLC 9 clinicians

Practice addresses (Care Compare)

2157 S Hwy 27
Stearns, KY 42647-6297
Phone (606) 376-9700

896 S Hwy 25 W
Williamsburg, KY 40769-1691
Phone (606) 376-9700

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1831842152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68",
            "city": "STEARNS",
            "state": "KY",
            "postal_code": "426470068",
            "telephone_number": "606-376-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2157 S HIGHWAY 27",
            "city": "STEARNS",
            "state": "KY",
            "postal_code": "426476297",
            "telephone_number": "606-376-9700",
            "fax_number": "606-376-9703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "896 S Highway 25 W",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "KY",
            "postal_code": "407691691",
            "country_code": "US",
            "telephone_number": "606-515-6124",
            "fax_number": "606-515-6163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YANCEY",
        "first_name": "KENNY",
        "middle_name": "RAY",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-27",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3017108",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3017108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stearns, KY

Sources for this page

Verify at the official NPI Registry.