Ingrid Medley, ARNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

2641S Issued in KY

Practice address

151 Drexler Cir
Ste 1
Elizabethtown, KY 42701-7843

Phone

(270) 506-2730

Fax

(270) 900-0704

NPI assigned

May 25, 2006

Last updated

Jan 15, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

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

Specialty

Nurse Practitioner

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Astra Behavioral Health LLCGroup PAC ID 0749406577, 35 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ephraim McDowell Regional Medical Center Hospital, Danville, KY, CCN 180048

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Astra Behavioral Health LLC

  • Psychiatry Physician
  • Elizabethtown, KY
  • NPI 1922427517

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• United Healthcare of Hardin, Inc

  dba Lincoln Trail Behavioral Health System

  • Clinical Social Worker
  • Radcliff, KY
  • NPI 1851500466
  Medicare reassignment NPD
• Communicare Inc

  • Community/Behavioral Health Agency
  • Bardstown, KY
  • NPI 1679610117
  NPD (past)
• Communicare Inc

  • Community/Behavioral Health Agency
  • Hodgenville, KY
  • NPI 1821419789
  NPD (past)

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

• Ephraim McDowell Regional Medical Center Incorporated

  dba Kids Can Do

  • Rehabilitation Hospital Unit
  • Danville, KY
  • NPI 1639360472
  Care Compare affiliation
• Ephraim McDowell Regional Medical Center Incorporated

  • General Acute Care Hospital
  • Danville, KY
  • NPI 1821135963
  Care Compare affiliation

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452816000000",
    "number": "1952357774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 CRANES ROOST CT",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427013650",
            "telephone_number": "270-765-2605",
            "fax_number": "270-766-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 DREXLER CIR",
            "address_2": "STE 1",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427017843",
            "telephone_number": "270-506-2730",
            "fax_number": "270-900-0704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDLEY",
        "first_name": "INGRID",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2016-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "2641S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000174962",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11386453",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30605018",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "341184",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meredith Rae McMillen, M.S. CCC-SLP
• Ebony McMullin, NP
• Elizabeth McNeil
• Ashley McNerlin
• Aaron E Medley, MD
• Daksha P Mehta, MD
• Prabodh Mehta, M.D.
• Melanie Edlin
• Janeen Melvin
• Member Medical, Inc.

• Psychiatric/Mental Health Nurse Practitioner in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Psychiatric/Mental Health Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.