NPIMap

Individual provider Active NPI

Beth Lynn Willison, APRN, FNP-C

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1902325756
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3011533 Issued in KY
Practice address
6420 Dutchmans Pkwy Ste 200
Louisville, KY 40205-3373
Phone
(502) 891-8300
Fax
(502) 891-8338
NPI assigned
Sep 13, 2017
Last updated
Sep 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3011533 KY
Family Nurse Practitioner 363LF0000X 3011533 KY Primary

Addresses

Primary practice location

6420 Dutchmans Pkwy Ste 200
Louisville, KY 40205-3373

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 559-9407

Other names 1

  • Beth Lynn McLean Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address bwillison169087@direct.nortonhealthcare.org
FHIR URL https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180531000862 KY Practitioner - Nurse Practitioner 6305101940 Reassigns benefits to 2 organizations
I20191203000671 IN Practitioner - Nurse Practitioner 6305101940 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, shared by 2 NPIs, 1,368 clinicians

Practice addresses (Care Compare)

3118 E 10TH St
Suite B
Jeffersonville, IN 47130-5904
Phone (812) 255-4585

6420 Dutchmans Pkwy
Suite 200
Louisville, KY 40205-3373
Phone (502) 891-8300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Nurse Practitioner Current Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Jun 25, 2018 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Jun 25, 2018 Accepting new patients
University of Louisville Physicians, Inc. Nurse Practitioner Current Accepting new patients
Community Medical Associates, Inc. Nurse Practitioner CurrentSince Aug 22, 2023 Accepting new patients
Community Medical Associates, Inc. Nurse Practitioner CurrentSince Dec 1, 2019 Accepting new patients
Community Medical Associates, Inc. Nurse Practitioner CurrentSince Dec 1, 2019 Accepting new patients
Med-Life-Fit Medical and Lifestyle Management Family Medical Center L Past Accepting new patients
Associates in Plastic Surgery, PLLC Past Accepting new patients
Community Medical Associates, Inc. Nurse Practitioner Past Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

2051 Clevidence Blvd
Clarksville, IN 47129
Phone (812) 280-6650

3118 E 10th St
Ste B
Jeffersonvlle, IN 47130
Phone (812) 282-6979

1373 E State Road 62
#6F
Madison, IN 47250
Phone (502) 629-7181

401 E Chestnut St
Louisville, KY 40202
Phone (502) 588-4400

4420 Dixie Hwy
Ste 118
Louisville, KY 40216
Phone (502) 447-3448

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

6420 Dutchmans Pkwy
Ste 200
Louisville, KY 40205
Phone (502) 891-8333

7926 Preston Hwy
Ste 106
Louisville, KY 40219
Phone (502) 964-4357

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9343/brand/1/csg/1/fhir/r4

Organizations & group practices 10

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1902325756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-559-9407",
            "fax_number": "502-272-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 DUTCHMANS PKWY STE 200",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053373",
            "telephone_number": "502-891-8300",
            "fax_number": "502-891-8338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLISON",
        "first_name": "BETH",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-13",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3011533",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3011533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bwillison169087@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "3118 E 10th St Ste B",
            "city": "Jeffersonville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471305904",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "3118 E 10th St Ste B",
            "city": "Jeffersonville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471305904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "MCLEAN",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.