Individual provider Active NPI

Kendra Fleener, APRN

  • Nurse Practitioner
  • Beaver Dam, KY
National Provider Identifier
1871204172
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3018728 Issued in KY
Practice address
1221 N Main St
Beaver Dam, KY 42320-8955
Phone
(270) 775-6060
Fax
(270) 775-6010
NPI assigned
Dec 7, 2022
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3018728 KY Primary

Addresses

Primary practice location

1221 N Main St
Beaver Dam, KY 42320-8955

Mailing address

1221 N Main St
Beaver Dam, KY 42320-8955
Phone (270) 775-6060

Other practice location 1

1211 Old Main St
Hartford, KY 42347-1619
Phone (270) 298-7411 ext. 5451

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
I20230127001759 KY Practitioner - Nurse Practitioner 4183095250 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Coffman Family Care and Wellness, PLLCGroup PAC ID 1759751456, 4 clinicians

Practice addresses (Care Compare)

1221 N Main St
Beaver Dam, KY 42320-8955
Phone (270) 256-5911

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3018728KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio County Hospital Corporation Current Accepting new patients
Ohio County Hospital Corporation CurrentSince Jan 1, 2023 Accepting new patients
Coffman Family Care and Wellness PLLC Nurse Practitioner CurrentSince Jan 2, 2024 Accepting new patients
Ohio County Hospital Corporation CurrentSince Jan 1, 2023 Accepting new patients

Locations

1221 N Main St
Beaver Dam, KY 42320
Phone (270) 256-5911

1313 N Main St
Beaver Dam, KY 42320
Phone (270) 274-9928

44 W Main St
Fordsville, KY 42343
Phone (270) 276-3150

1211 Old Main St
Hartford, KY 42347
Phone (270) 298-3806

1215 Old Main St
Hartford, KY 42347
Phone (270) 298-5401

20 E McMurtry Ave
Hartford, KY 42347
Phone (270) 504-1300

1102 Triplett St
Ste 2200
Owensboro, KY 42303
Phone (270) 685-2979

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1670371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1871204172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 N MAIN ST",
            "city": "BEAVER DAM",
            "state": "KY",
            "postal_code": "423208955",
            "telephone_number": "270-775-6060",
            "fax_number": "270-775-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 N MAIN ST",
            "city": "BEAVER DAM",
            "state": "KY",
            "postal_code": "423208955",
            "telephone_number": "270-775-6060",
            "fax_number": "270-775-6010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1211 Old Main St",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "KY",
            "postal_code": "423471619",
            "country_code": "US",
            "telephone_number": "270-298-7411 x5451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLEENER",
        "first_name": "KENDRA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-07",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3018728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver Dam, KY

Sources for this page

Verify at the official NPI Registry.