Individual provider Active NPI

Reanna Christine Hargrove, APRN

  • Family Nurse Practitioner
  • Benton, KY
National Provider Identifier
1982171484
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3012843 Issued in KY
Practice address
617 Old Symsonia Rd
Benton, KY 42025-5042
Phone
(270) 527-2411
Fax
(270) 527-8734
NPI assigned
Nov 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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 3012843 KY Primary

Addresses

Primary practice location

617 Old Symsonia Rd
Benton, KY 42025-5042

Mailing address

617 Old Symsonia Rd
Benton, KY 42025-5042
Phone (270) 527-2411

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
I20181214002897 KY Practitioner - Nurse Practitioner 6406191774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marshall County Hospital DistrictGroup PAC ID 3375581986, 20 clinicians

Practice addresses (Care Compare)

617 Old Symsonia Rd
Benton, KY 42025-5042
Phone (270) 527-2411

Hospital & facility affiliations

  • Marshall County Hospital Hospital, Benton, KY, CCN 181327

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Marshall County Hospital District CurrentSince Feb 5, 2024 Accepting new patients
Marshall County Hospital District Family CurrentSince Feb 5, 2024 Accepting new patients
Marshall County Hospital District Past Accepting new patients

Locations

617 Old Symsonia Rd
Benton, KY 42025
Phone (270) 527-2411

5130 Hinkleville Rd
Paducah, KY 42001
Phone (270) 443-0401

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/marshal-fc975078

Organizations & group practices 4

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.

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": "1541030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1982171484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 OLD SYMSONIA RD",
            "city": "BENTON",
            "state": "KY",
            "postal_code": "420255042",
            "telephone_number": "270-527-2411",
            "fax_number": "270-527-8734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 OLD SYMSONIA RD",
            "city": "BENTON",
            "state": "KY",
            "postal_code": "420255042",
            "telephone_number": "270-527-2411",
            "fax_number": "270-527-8734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARGROVE",
        "first_name": "REANNA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-01",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3012843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton, KY

Sources for this page

Verify at the official NPI Registry.