Individual provider Active NPI

Danielle Revert, APRN

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1962871327
Registry record updated Sep 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3009715 Issued in KY
Practice address
140 Whittington Pkwy 100
Louisville, KY 40222-4930
Phone
(502) 327-9100
Fax
(855) 632-8329
NPI assigned
Sep 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3009715 KY Primary

Addresses

Primary practice location

140 Whittington Pkwy 100
Louisville, KY 40222-4930

Mailing address

140 Whittington Pkwy 100
Louisville, KY 40222-4930
Phone (502) 327-9100

Other names 1

  • Danielle Horrell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 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
I20150928002539 KY Practitioner - Nurse Practitioner 9032427836 Reassigns benefits to 3 organizations
I20240110001134 OH Practitioner - Nurse Practitioner 9032427836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.3 of 100Reported as group
Quality
74.59
Promoting interoperability
100
Improvement activities
40
Cost
68.87

Merit-based Incentive Payment System (MIPS)

Final score
73.96 of 100Reported as group
Quality
62.41
Promoting interoperability
69
Improvement activities
40
Cost
71.3

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
T J Samson Community Hospital Family CurrentSince Jul 15, 2020 Accepting new patients
Hepatitis C Treatment Centers Inc CurrentSince Dec 4, 2018 Accepting new patients
Faith Healthcare Inc Family CurrentSince May 1, 2021 Accepting new patients
Hepatitis C Treatment Centers Inc CurrentSince Dec 4, 2018 Accepting new patients
Faith Healthcare Inc CurrentSince May 1, 2021 Accepting new patients
Icats Management Integrated Care and Transition Services LLC PastSince Nov 18, 2013 Accepting new patients
Lakewood Healthcare Consulting LLC PastSince Dec 1, 2023 Accepting new patients
T J Samson Community Hospital Past Accepting new patients

Locations

310 N L Rogers Wells Blvd
Glasgow, KY 42141
Phone (270) 651-1111

1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4141

1009 N DuPont Sq
Louisville, KY 40207
Phone (502) 721-5220

1009A N DuPont Sq
Louisville, KY 40207
Phone (502) 894-9950

126 Franklin Rd
Monticello, KY 42633
Phone (606) 396-3534

213 US Highway 250
Adena, OH 43901
Phone (502) 894-9950

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442966400000",
    "number": "1962871327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 WHITTINGTON PKWY 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224930",
            "telephone_number": "502-327-9100",
            "fax_number": "855-632-8329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 WHITTINGTON PKWY 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224930",
            "telephone_number": "502-327-9100",
            "fax_number": "855-632-8329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVERT",
        "first_name": "DANIELLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-16",
        "last_updated": "2015-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3009715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "HORRELL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.