Ingrid Minor, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA841 Issued in KY

Practice address

110 Roy Kidd Ave
Corbin, KY 40701-1302

Phone

(606) 528-7400

Fax

(606) 528-7449

NPI assigned

May 5, 2006

Last updated

Jun 9, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Physician Assistant

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Maria Cristina Atienza PSCGroup PAC ID 4183526544, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Health Corbin Hospital, Corbin, KY, CCN 180080

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Maria Cristina Atienza PSC

  • Geriatric Medicine (Internal Medicine) Physician
  • Corbin, KY
  • NPI 1275543134
  Medicare reassignment Care Compare group
• Cumberland Family Behavioral Health, PLLC

  • Child & Adolescent Psychiatry Physician
  • London, KY
  • NPI 1659381580
  NPD (past)
• Tri-State Pulmonary Assoc PSC

  • Pulmonary Disease Physician
  • Ashland, KY
  • NPI 1851498364
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Healthcare System, Inc

  dba Baptist Health Corbin

  • General Acute Care Hospital
  • Corbin, KY
  • NPI 1902865389
  Care Compare affiliation

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244505600000",
    "number": "1841248507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 545",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407020545",
            "telephone_number": "606-528-7400",
            "fax_number": "606-528-7449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 ROY KIDD AVE",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407011302",
            "telephone_number": "606-528-7400",
            "fax_number": "606-528-7449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINOR",
        "first_name": "INGRID",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2009-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000605852",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95004826",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shellie Fern Mills, M.ED, LPCC
• Vickie Ann Mills, FNP
• Wendi M Mills, BS
• Whitney Mills
• Shalena Rachelle Miniard
• Kimberly Jo Miracle-Meadows, BS
• Elice Marie Miracle, LPCA, M.ED
• Tara Lee Miracle, LPCC
• Jahan David Miremami, M.D
• Tiffany Mitchell

• Physician Assistant in Corbin, KY
• Providers in Corbin, KY by specialty
• Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.