NPIMap

Individual provider Active NPI

Alix M Mattingly, APRN

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1891379640
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3015208 Issued in KY
Practice address
201 Abraham Flexner Way Ste 905
Louisville, KY 40202-3803
Phone
(502) 587-4267
NPI assigned
May 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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 95017822 CA
Family Nurse Practitioner 363LF0000X 3015208 KY Primary

Addresses

Primary practice location

201 Abraham Flexner Way Ste 905
Louisville, KY 40202-3803

Mailing address

PO Box 909
Louisville, KY 40201-0909
Phone (502) 587-4267

Other practice location 1

1265 Goss Ave
Louisville, KY 40217-2271
Phone (502) 873-1265

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
I20220831003090 KY Practitioner - Nurse Practitioner 4183008725 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Louisville Physicians IncGroup PAC ID 3476725599, 1,438 clinicians

Practice addresses (Care Compare)

201 Abraham Flexner Way
Suite 904
Louisville, KY 40202-3841
Phone (502) 589-3844

Hospital & facility affiliations

  • UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Hospital, Louisville, KY, CCN 180040
  • Uofl Health - Shelbyville Hospital Hospital, Shelbyville, KY, CCN 180016

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
95017822CAMDFamily Nurse Practitioner
3015208KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians Inc. CurrentSince Apr 4, 2023 Accepting new patients
University of Louisville Physicians, Inc. Current Accepting new patients
SHC Medical Partners of Kentucky, LLC CurrentSince Nov 14, 2022 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Apr 4, 2023 Accepting new patients
Rolling Hills Clinic PastSince May 1, 2021 Accepting new patients
Uofl Health-Louisville Inc Past Accepting new patients
Rolling Hills Clinic Family PastSince May 1, 2021 Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

2529 Six Mile Ln
Louisville, KY 40220
Phone (502) 491-5560

200 Abraham Flexner Way
Louisville, KY 40202
Phone (502) 569-7983

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

201 Abraham Flexner Way
Ste 904
Louisville, KY 40202
Phone (502) 583-5553

201 Abraham Flexner Way
Ste 905
Louisville, KY 40202
Phone (502) 587-4267

12201 Bluegrass Pkwy
Louisville, KY 40299
Phone (502) 568-7364

805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000

Interoperability endpoints

  • Direct secure messaging: alix.mattingly@krogerhealth.eclinicaldirectplus.com

Organizations & group practices 7

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 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1620345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1891379640",
    "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": "502-587-4267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 ABRAHAM FLEXNER WAY STE 905",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402023803",
            "telephone_number": "502-587-4267"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1265 Goss Ave",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402172271",
            "country_code": "US",
            "telephone_number": "502-873-1265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTINGLY",
        "first_name": "ALIX",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-07",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95017822",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3015208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.