Nicole Bailey, PMHNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Radcliff, KY
NPI 1912445651 · NPPES record last updated Feb 2, 2017
Key facts
- NPI
- 1912445651
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 3011081 (KY)
- Practice address
- 816 Ireland School Rd
Radcliff, KY 40160-9338 - Phone
- (270) 877-6745
- NPI assigned
- Feb 2, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Astra Behavioral Health LLC
United Healthcare of Hardin Inc
Practice addresses (Care Compare)
2000 Ring Rd
Elizabethtown, KY 42701-9454
Phone (270) 506-2730
3909 S Wilson Rd
Radcliff, KY 40160-8944
Phone (270) 351-8976
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170403000183 | KY | Practitioner - Nurse Practitioner | 6507092947 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Healthcare of Hardin, Inc | Current |
Accepting new patients | |
| Astra Behavioral Health LLC | Psychiatric/Mental Health | Current |
Accepting new patients |
Locations
1013 Granite Dr
Bardstown, KY 40004
Phone (270) 506-2730
151 Drexler Cir
#1
Elizabethtown, KY 42701
Phone (270) 506-2730
2000 Ring Rd
Elizabethtown, KY 42701
Phone (270) 506-2730
420 N Loretto Rd
Ste 200
Lebanon, KY 40033
Phone 2703214480 ext. 306
4010 DuPont Cir
Ste 210
Louisville, KY 40207
Phone (502) 694-4820
3909 S Wilson Rd
Radcliff, KY 40160
Phone (270) 351-8976
162 S Buckman St
Shepherdsville, KY 40165
Phone (502) 215-8770
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 3011081 | KY | Yes |
Addresses
Primary practice location
816 Ireland School Rd
Radcliff, KY 40160-9338
Mailing address
816 Ireland School Rd
Radcliff, KY 40160-9338
Phone (270) 877-6745
Other providers in Radcliff, KY
- Keila Renee Armes
- Shantel Atkins
- Jennifer Lynn Ayotte
- Norman Wayne Ayotte Jr.
- Keith Alan Bailey
- Tywahneikai Lashae Bailey
- Karen M Baker
- Samantha Jane Baker
- Jessica Lynn Ballard
- Baptist Health Medical Group Inc
All providers in Radcliff, KY · Psychiatric/Mental Health Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.