Individual provider Active NPI

Erica L Powell, APRN, FNP-C

  • Family Nurse Practitioner
  • Elizabethtown, KY
National Provider Identifier
1881224475
Registry record updated Apr 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3014234 Issued in KY
Practice address
1311 Ring Rd Ste 105
Elizabethtown, KY 42701-8963
Phone
(270) 769-0892
NPI assigned
Jan 22, 2020
Last updated
Apr 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2020

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 3014234 KY Primary
Family Medicine Physician 207Q00000X 3014234 KY

Addresses

Primary practice location

1311 Ring Rd Ste 105
Elizabethtown, KY 42701-8963

Mailing address

1311 Ring Rd Ste 105
Elizabethtown, KY 42701-8963
Phone (270) 769-0892

Other practice location 1

1311 Ring Rd Ste 105
Elizabethtown, KY 42701-8963
Phone (270) 769-0892

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
I20200514001569 KY Practitioner - Nurse Practitioner 6800227463 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Medical Associates PLLCGroup PAC ID 7012226301, 12 clinicians

Practice addresses (Care Compare)

1311 Ring Rd
Suite 105
Elizabethtown, KY 42701-8963
Phone (270) 769-0892

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3014234KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Medical Associates PLLC CurrentSince Mar 16, 2020 Accepting new patients

Locations

1311 Ring Rd
Ste 105
Elizabethtown, KY 42701
Phone (270) 769-0892

1321 Ring Rd
Ste 105
Elizabethtown, KY 42701
Phone (270) 986-7372

700 W Lincoln Trail Blvd
Radcliff, KY 40160
Phone (270) 351-3192

Organizations & group practices 1

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": "1579651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588204800000",
    "number": "1881224475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 RING RD STE 105",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427018963",
            "telephone_number": "270-769-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 RING RD STE 105",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427018963",
            "telephone_number": "270-769-0892"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1311 Ring Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "KY",
            "postal_code": "427018963",
            "country_code": "US",
            "telephone_number": "270-769-0892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWELL",
        "first_name": "ERICA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-22",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3014234",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "3014234",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

Verify at the official NPI Registry.