Individual provider Active NPI

Kendra N Wiseman, APRN, PMHNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Louisa, KY
National Provider Identifier
1891338299
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3013968 Issued in KY
Practice address
203 S Water St
Louisa, KY 41230-1347
Phone
(606) 649-2211
Fax
(606) 638-1399
NPI assigned
Oct 18, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3013968 KY Primary

Addresses

Primary practice location

203 S Water St
Louisa, KY 41230-1347

Mailing address

PO Box 726
Louisa, KY 41230-0726
Phone (606) 638-0938

Other practice location 1

102 Medical Center Dr
Hazard, KY 41701-9421
Phone (606) 439-6713

Other practice location 2

125 S Main Cross St
Louisa, KY 41230-1330
Phone (606) 638-0938

Other practice location 3

50 Recovery Dr
Ashland, KY 41101-8800
Phone (606) 220-0010

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
I20191120002088 KY Practitioner - Nurse Practitioner 7012349616 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3013968KYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian Regional Healthcare, Inc CurrentSince Oct 1, 2019 Accepting new patients
Appalachian Regional Healthcare, Inc Current Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jan 1, 2023 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jan 1, 2023 Accepting new patients
Appalachian Regional Healthcare, Inc. CurrentSince Oct 1, 2019 Accepting new patients
Appalachian Regional Healthcare, Inc. Past Accepting new patients
Pioneer Health Group LLC Past Accepting new patients
Arc Health Systems, LLC PastSince Apr 21, 2024 Accepting new patients

Locations

1840 Cumberland Falls Hwy
Corbin, KY 40701
Phone (606) 526-4428

37 Ball Park Rd
Harlan, KY 40831
Phone (606) 263-3900

100 Airport Gardens Rd
Ste 311
Hazard, KY 41701
Phone (606) 439-6978

100 Medical Dr
Hazard, KY 41701
Phone (606) 439-6600

102 Medical Dr
Hazard, KY 41701
Phone (606) 439-6713

181 Roy Campbell Dr
Hazard, KY 41701
Phone (606) 439-1316

9480 Highway 805
Jenkins, KY 41537
Phone (606) 832-2171

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

214 Hospital Rd
Whitesburg, KY 41858
Phone (606) 633-3631

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.

NPI Registry JSON

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

{
    "created_epoch": "1571356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1891338299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 726",
            "city": "LOUISA",
            "state": "KY",
            "postal_code": "412300726",
            "telephone_number": "606-638-0938",
            "fax_number": "859-813-5394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 S WATER ST",
            "city": "LOUISA",
            "state": "KY",
            "postal_code": "412301347",
            "telephone_number": "606-649-2211",
            "fax_number": "606-638-1399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Hazard",
            "state": "KY",
            "postal_code": "417019421",
            "country_code": "US",
            "telephone_number": "606-439-6713",
            "fax_number": "606-439-6710",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 S Main Cross St",
            "address_purpose": "LOCATION",
            "city": "Louisa",
            "state": "KY",
            "postal_code": "412301330",
            "country_code": "US",
            "telephone_number": "606-638-0938",
            "fax_number": "859-813-5394",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 Recovery Dr",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "KY",
            "postal_code": "411018800",
            "country_code": "US",
            "telephone_number": "606-220-0010",
            "fax_number": "606-744-1875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISEMAN",
        "first_name": "KENDRA",
        "middle_name": "N",
        "name_prefix": "Ms.",
        "credential": "APRN, PMHNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-18",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3013968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisa, KY

Sources for this page

Verify at the official NPI Registry.