Individual provider Active NPI

Anna K Stewart, APRN

  • Adult Health Clinical Nurse Specialist
  • Paducah, KY
National Provider Identifier
1942535497
Registry record updated Oct 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
3006224 Issued in KY
Practice address
1532 Lone Oak Rd
Suite 315
Paducah, KY 42003-7913
Phone
(270) 538-5880
Fax
(270) 538-5870
NPI assigned
Oct 15, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2015

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 6224S KY
Adult Health Clinical Nurse Specialist 364SA2200X 3006224 KY Primary

Addresses

Primary practice location

1532 Lone Oak Rd
Suite 315
Paducah, KY 42003-7913

Mailing address

225 Medical Center Dr
Suite 201
Paducah, KY 42003-7914
Phone (270) 441-4200

Other identifiers 1

IdentifierTypeStateIssuer
7100117320MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20091117000049 KY Practitioner - Nurse Practitioner 9537207337 Reassigns benefits to 1 organization
I20140916002769 IL Practitioner - Nurse Practitioner 9537207337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kidney Specialists of Paducah PLLCGroup PAC ID 1557605649, 9 clinicians

Practice addresses (Care Compare)

1532 Lone Oak Rd
Suite 315
Paducah, KY 42003-7942
Phone (270) 538-5880

20 Hospital Dr
Metropolis, IL 62960-2462
Phone (270) 538-5880

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.69 of 100Reported as group
Quality
87.4
Improvement activities
40
Cost
82.42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6224SKYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Specialists of Paducah PLLC Adult Health CurrentSince Dec 1, 2018 Accepting new patients
Oncology Hematology Consultants, PSC Family Past Accepting new patients
Baptist Health Medical Group Inc Past Accepting new patients

Locations

20 Hospital Dr
Metropolis, IL 62960
Phone (618) 524-3046

2487 Main St
Cadiz, KY 42211

300 S 8th St
Ste 282W
Murray, KY 42071
Phone (270) 522-0170

1532 Lone Oak Rd
Paducah, KY 42003
Phone (270) 442-3536

1532 Lone Oak Rd
Ste 315
Paducah, KY 42003
Phone (270) 522-0170

Organizations & group practices 3

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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444003200000",
    "number": "1942535497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 MEDICAL CENTER DR",
            "address_2": "SUITE 201",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420037914",
            "telephone_number": "270-441-4200",
            "fax_number": "270-441-4249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1532 LONE OAK RD",
            "address_2": "SUITE 315",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420037913",
            "telephone_number": "270-538-5880",
            "fax_number": "270-538-5870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "ANNA",
        "middle_name": "K",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-15",
        "last_updated": "2015-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "6224S",
            "primary": false
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "KY",
            "license": "3006224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100117320",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.