Individual provider Active NPI

Vincent Bryce Eichelberger, APRN

  • Nurse Practitioner
  • Salem, KY
National Provider Identifier
1962738187
Registry record updated May 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3008089 Issued in KY
Practice address
131 Hospital Dr
Salem, KY 42078-8043
Phone
(270) 988-2299
Fax
(270) 988-3900
NPI assigned
Oct 22, 2009
Last updated
May 21, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2019

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 3008089 KY Primary
Family Nurse Practitioner 363LF0000X 5004526 NC

Addresses

Primary practice location

131 Hospital Dr
Salem, KY 42078-8043

Mailing address

131 Hospital Dr
Salem, KY 42078-8043
Phone (270) 988-2299

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
I20190712002471 KY Practitioner - Nurse Practitioner 3971642604 Reassigns benefits to 3 organizations

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

Practice addresses (Care Compare)

727 E Main St
Salem, KY 42078-8035
Phone (270) 988-3839

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5004526NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group of Kentucky PLLC Nurse Practitioner CurrentSince May 1, 2025 Accepting new patients
Livingston Hospital and Healthcare Services, Inc. Family Current Accepting new patients
Livingston Hospital and Healthcare Services, Inc. CurrentSince May 1, 2025 Accepting new patients
Livingston Hospital and Healthcare Services, Inc. Current Accepting new patients
Livingston Hospital and Healthcare Services, Inc. Current Accepting new patients
Southeastern Emergency Services P C Nurse Practitioner CurrentSince Jul 1, 2019 Accepting new patients
Livingston Hospital and Healthcare Services, Inc. CurrentSince May 1, 2025 Accepting new patients
Livingston Hospital and Healthcare Services, Inc. Family Past Accepting new patients
Livingston Hospital and Healthcare Services, Inc. Past Accepting new patients

Locations

1700 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

209 W Main St
Eddyville, KY 42038
Phone (270) 388-0620

1860 Jh Obryan Ave
Grand Rivers, KY 42045
Phone (270) 362-8246

150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773

909 S Main St
Marion, KY 42064
Phone (270) 704-4131

2501 Kentucky Ave
Paducah, KY 42003
Phone (270) 575-2180

131 Hospital Dr
Salem, KY 42078
Phone (270) 988-2299

727 E Main St
Salem, KY 42078
Phone (270) 988-2650

Organizations & group practices 9

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 1

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": "1256169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558396800000",
    "number": "1962738187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 HOSPITAL DR",
            "city": "SALEM",
            "state": "KY",
            "postal_code": "420788043",
            "telephone_number": "270-988-2299",
            "fax_number": "270-988-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 HOSPITAL DR",
            "city": "SALEM",
            "state": "KY",
            "postal_code": "420788043",
            "telephone_number": "270-988-2299",
            "fax_number": "270-988-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EICHELBERGER",
        "first_name": "VINCENT",
        "middle_name": "BRYCE",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-22",
        "last_updated": "2019-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3008089",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5004526",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, KY

Sources for this page

Verify at the official NPI Registry.