Active NPI
Reanna Christine Hargrove, APRN
- Family Nurse Practitioner
- Benton, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3012843
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 District
Practice addresses (Care Compare)
617 Old Symsonia Rd
Benton, KY 42025-5042
Phone (270) 527-2411
Hospital & facility affiliations
- Marshall County Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marshall County Hospital District | Current | Accepting new patients | |
| Marshall County Hospital District | Family | Current | 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
- 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.
-
- Rural Health Clinic/Center
- Benton, KY
- NPI 1962873109
-
- Critical Access Hospital
- Benton, KY
- NPI 1568528594
-
- Medicare Defined Swing Bed Hospital Unit
- Benton, KY
- NPI 1790840056
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.