Mary Ellen Conley, NURSE PRACTITIONER

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

3010937 Issued in KY

Practice address

100 Medical Center Drive
Hazard, KY 41701

Phone

(859) 469-1891

NPI assigned

Jan 6, 2017

Last updated

Jan 6, 2017By 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 names 1

• Mary Ellen Mullins Former name

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

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Harrison Memorial HospitalGroup PAC ID 8628961018, 21 clinicians

Harrison Memorial HospitalGroup PAC ID 4284784067, 60 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Harrison Memorial Hospital Hospital, Cynthiana, KY, CCN 180079

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Harrison Memorial Hospital

  • Clinic/Center
  • Cynthiana, KY
  • NPI 1386783868
  Medicare reassignment Care Compare group NPD
• Harrison Memorial Hospital Inc

  dba HMH Physician Group

  • Multi-Specialty Clinic/Center
  • Cynthiana, KY
  • NPI 1669615233
  Medicare reassignment Care Compare group
• Southern Medical Partners, LLC

  • Emergency Medicine Physician
  • Hazard, KY
  • NPI 1538109962

  Nurse Practitioner

  Medicare reassignment NPD
• Harrison Memorial Hospital

  dba HMH Primary Care

  • Rural Health Clinic/Center
  • Cynthiana, KY
  • NPI 1588237150
  NPD

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

• Harrison Memorial Hospital

  • General Acute Care Hospital
  • Cynthiana, KY
  • NPI 1629084702
  Care Compare affiliation

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

{
    "created_epoch": "1483660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483660800000",
    "number": "1891231437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1485 STRINGTOWN RD",
            "city": "CORINTH",
            "state": "KY",
            "postal_code": "41010",
            "telephone_number": "859-469-1891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL CENTER DRIVE",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "41701",
            "telephone_number": "859-469-1891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONLEY",
        "first_name": "MARY",
        "middle_name": "ELLEN",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-06",
        "last_updated": "2017-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3010937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "MULLINS",
            "middle_name": "ELLEN",
            "credential": "NURSE PRACTITIONER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Comprehensive Hospitalist Services of Kentucky LLC
• Shawn Compton, APRN
• Breanne Conley
• Ericka Conley
• Larry Trent Conley, PMHNP
• Dharma Cook, RN
• Elaine Cook
• Cooley Medical Equipment, Inc. (Quipt Home Medical)
• Bobby Coots
• Candice J Coots

• Nurse Practitioner in Hazard, KY
• Providers in Hazard, KY by specialty
• Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2017; 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.