NPIMap

Individual provider Active NPI

Adelle Sutton

  • Family Nurse Practitioner
  • Elizabethtown, KY
National Provider Identifier
1962872473
Registry record updated Oct 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3010083 Issued in KY
Practice address
101 Diecks Dr
Elizabethtown, KY 42701-2444
Phone
(270) 982-1244
NPI assigned
Sep 28, 2015
Last updated
Oct 11, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2016

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 1-140172 AL
Family Nurse Practitioner 363LF0000X 3010083 KY Primary

Addresses

Primary practice location

101 Diecks Dr
Elizabethtown, KY 42701-2444

Mailing address

101 Diecks Dr
Elizabethtown, KY 42701-2444
Phone (270) 982-1244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200831000961 KY Practitioner - Nurse Practitioner 2668899014 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Breckinridge Health, Inc.Group PAC ID 0941106454, 14 clinicians

Practice addresses (Care Compare)

107 Old Hwy 60
Hardinsburg, KY 40143-2501
Phone (270) 756-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-140172ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Breckinridge Health, Inc Current Accepting new patients
Breckinridge Health, Inc. CurrentSince Oct 26, 2023 Accepting new patients
Fast Pace Kentucky PLLC Family CurrentSince Sep 1, 2022 Accepting new patients
Breckinridge Health Inc Nurse Practitioner CurrentSince Oct 26, 2023 Accepting new patients
Fast Pace Kentucky, PLLC CurrentSince Sep 1, 2022 Accepting new patients

Locations

110 S 2nd St
Central City, KY 42330
Phone (270) 931-2059

1475 Nashville Rd
Franklin, KY 42134
Phone (270) 813-1111

1011 Old Highway 60
Hardinsburg, KY 40143
Phone (270) 756-7000

107 Old Highway 60
Hardinsburg, KY 40143
Phone (270) 580-2250

Interoperability endpoints

  • Direct secure messaging: adelle.sutton.1@15020.direct.athenahealth.com

Organizations & group practices 5

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 6

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": "1443398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476144000000",
    "number": "1962872473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 DIECKS DR",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012444",
            "telephone_number": "270-982-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 DIECKS DR",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012444",
            "telephone_number": "270-982-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "ADELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-28",
        "last_updated": "2016-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-140172",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3010083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

Verify at the official NPI Registry.