NPIMap

Individual provider Active NPI

Lynn Shinae Nix, APRN

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1851013692
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3017876 Issued in KY
Practice address
6420 Dutchmans Pkwy Ste 180
Louisville, KY 40205-3300
Phone
(502) 588-7010
NPI assigned
Sep 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3017876 KY Primary

Addresses

Primary practice location

6420 Dutchmans Pkwy Ste 180
Louisville, KY 40205-3300

Mailing address

PO Box 909
Louisville, KY 40201-0909
Phone (502) 588-7010

Other practice location 1

110 W John Rowan Blvd
Bardstown, KY 40004-2663
Phone (502) 337-7409

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221101002621 KY Practitioner - Nurse Practitioner 0042687295 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6420 Dutchmans Pkwy
Suite 175
Louisville, KY 40205-3353
Phone (502) 588-0955

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.96 of 100Reported as group
Quality
56.12
Promoting interoperability
100
Improvement activities
40
Cost
73.73

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3017876KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brock Medical, LLC CurrentSince Sep 19, 2022 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Jan 24, 2024 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Jan 24, 2024 Accepting new patients
Fast Pace Kentucky PLLC CurrentSince Sep 19, 2022 Accepting new patients
University of Louisville Physicians, Inc. Current Accepting new patients
University of Louisville Physicians, Inc. Past Accepting new patients
FC TN, PLLC Family PastSince Mar 21, 2021 Accepting new patients
University of Louisville Research Foundation Past Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

110 W John Rowan Blvd
Bardstown, KY 40004
Phone (502) 337-7409

301 Versailles Rd
Frankfort, KY 40601
Phone (502) 352-2310

230 N Green St
Henderson, KY 42420
Phone (270) 854-3196

2955 Fort Campbell Blvd
Hopkinsville, KY 42240
Phone (270) 348-3677

1649 Highway 192 W
London, KY 40741
Phone (606) 330-0055

6420 Dutchmans Pkwy
Ste 180
Louisville, KY 40205
Phone (502) 259-5284

401 E Chestnut St
Unit 310
Louisville, KY 40202
Phone (502) 584-8563

6420 Dutchmans Pkwy
Ste 175
Louisville, KY 40205
Phone (502) 259-5284

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

1350 N Main St
Madisonville, KY 42431
Phone (270) 245-2554

239 N 12th St
Middlesboro, KY 40965
Phone (270) 632-1548

480 Indian Mound Dr
Mt Sterling, KY 40353
Phone (270) 245-2554

115 Lee Ave
Pikeville, KY 41501
Phone (606) 727-5296

115 Lee Ave
#101
Pikeville, KY 41501
Phone (606) 727-5296

Interoperability endpoints

  • Direct secure messaging: lpresley17374@uoflhealth-dm.org

Organizations & group practices 8

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.

Hospital & facility affiliations 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1851013692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402010909",
            "telephone_number": "502-588-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 DUTCHMANS PKWY STE 180",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053300",
            "telephone_number": "502-588-7010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 W John Rowan Blvd",
            "address_purpose": "LOCATION",
            "city": "Bardstown",
            "state": "KY",
            "postal_code": "400042663",
            "country_code": "US",
            "telephone_number": "502-337-7409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIX",
        "first_name": "LYNN",
        "middle_name": "SHINAE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3017876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.