Individual provider Active NPI

Nicole Stiner, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lawrenceburg, KY
National Provider Identifier
1962229856
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4026523 Issued in KY
Practice address
1080 Glensboro Rd
Lawrenceburg, KY 40342-9033
Phone
(502) 839-4091
Fax
(502) 839-9650
NPI assigned
Sep 23, 2024
Sex
Female
Sole proprietor
Yes

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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group Inc 2,431 clinicians

Practice addresses (Care Compare)

1080 Glensboro Rd
Lawrenceburg, KY 40342-9033
Phone (502) 839-4091

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20241105003464 KY Practitioner - Nurse Practitioner 2668906215 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4026523KYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Jun 1, 2025 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jun 1, 2025 Accepting new patients
Mended Counseling & Trauma Services LLC CurrentSince Sep 25, 2024 Accepting new patients

Locations

96 Future Dr
Corbin, KY 40701

1077 E Lexington Ave
Danville, KY 40422
Phone (859) 236-3142

1080 Glensboro Rd
Lawrenceburg, KY 40342
Phone (502) 839-4091

824 Euclid Ave
Ste A102
Lexington, KY 40502
Phone (859) 338-0006

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4026523 KY Primary

Addresses

NPPES NPI Registry

Primary practice location

1080 Glensboro Rd
Lawrenceburg, KY 40342-9033

Mailing address

1080 Glensboro Rd
Lawrenceburg, KY 40342-9033
Phone (502) 839-4091

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 4, 2025.

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1962229856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 GLENSBORO RD",
            "city": "LAWRENCEBURG",
            "state": "KY",
            "postal_code": "403429033",
            "telephone_number": "502-839-4091",
            "fax_number": "502-839-9650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 GLENSBORO RD",
            "city": "LAWRENCEBURG",
            "state": "KY",
            "postal_code": "403429033",
            "telephone_number": "502-839-4091",
            "fax_number": "502-839-9650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STINER",
        "first_name": "NICOLE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-23",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "4026523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceburg, KY

Sources for this page

Verify at the official NPI Registry.