Individual provider Active NPI

Precious Sarver

  • Psychiatric/Mental Health Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1972238467
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3018017 Issued in KY
Practice address
609 W Main St Ste 305
Louisville, KY 40202-2951
Phone
(502) 631-8015
Fax
(781) 523-2494
NPI assigned
Jul 19, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3018017 KY Primary

Addresses

Primary practice location

609 W Main St Ste 305
Louisville, KY 40202-2951

Mailing address

609 W Main St Ste 305
Louisville, KY 40202-2951
Phone (502) 631-8015

Other identifiers 2

IdentifierTypeStateIssuer
7100847380MedicaidKY
K406870OtherKYMEDICARE

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
I20220922001392 KY Practitioner - Nurse Practitioner 9537544887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

101 N 7TH St
Suite 605
Louisville, KY 40202-2924
Phone (502) 631-8015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3018017KYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mindset Resolutions Psychiatric/Mental Health CurrentSince Mar 7, 2023 Accepting new patients

Locations

609 W Main St
Ste 305
Louisville, KY 40202
Phone (502) 631-8015

101 N 7th St
Ste 605
Louisville, KY 40202
Phone (502) 631-8015

2031 Midland Trl
Shelbyville, KY 40065
Phone (502) 536-4534

Organizations & group practices 1

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": "1658188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1972238467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 W MAIN ST STE 305",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022951",
            "telephone_number": "502-631-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 W MAIN ST STE 305",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022951",
            "telephone_number": "502-631-8015",
            "fax_number": "781-523-2494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARVER",
        "first_name": "PRECIOUS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-19",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3018017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100847380",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "K406870",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.