Individual provider Active NPI

Andrea Palmer, ARNP

  • Nurse Practitioner
  • Bardstown, KY
National Provider Identifier
1992023816
Registry record updated May 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
6419P Issued in KY
Practice address
3795 E John Rowan Blvd
Bardstown, KY 40004-3214
Phone
(502) 348-9960
Fax
(502) 348-9962
NPI assigned
May 17, 2010
Last updated
May 17, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 6419P KY Primary

Addresses

Primary practice location

3795 E John Rowan Blvd
Bardstown, KY 40004-3214

Mailing address

PO Box 2119
Elizabethtown, KY 42702-2119
Phone (270) 706-1165

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
I20100621000521 KY Practitioner - Nurse Practitioner 5496886384 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

1009 N Mulberry St
Elizabethtown, KY 42701-2036
Phone (270) 979-7109

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6419PKYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Kentucky, PSC Nurse Practitioner CurrentSince Jun 30, 2023 Accepting new patients
Gim of Kentucky PLLC CurrentSince Jul 1, 2024 Accepting new patients
SHC Medical Partners of Kentucky, LLC Nurse Practitioner CurrentSince Jul 1, 2020 Accepting new patients
Abode Care Partners LTC VB, LLC Nurse Practitioner CurrentSince Jan 6, 2024 Accepting new patients
Baptist Health Medical Group Inc Nurse Practitioner CurrentSince May 1, 2024 Accepting new patients
Zipclinic, PSC CurrentSince Apr 25, 2024 Accepting new patients
Baptist Health Medical Group Inc CurrentSince May 1, 2024 Accepting new patients
Abode Care Partners LTC VB, LLC Nurse Practitioner CurrentSince Jan 6, 2024 Accepting new patients
James Moss PLLC Nurse Practitioner Past Accepting new patients

Locations

708 Bartley Ave
Bardstown, KY 40004
Phone (502) 348-9260

2508 Scottsville Rd
Ste 104
Bowling Green, KY 42104
Phone (270) 746-6330

814 Old Ekron Rd
Brandenburg, KY 40108
Phone (270) 422-2148

96 Future Dr
Corbin, KY 40701

1009 N Mulberry St
Elizabethtown, KY 42701
Phone (270) 979-7109

1111 Ring Rd
Elizabethtown, KY 42701
Phone (270) 706-1111

2005 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 360-0008

913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212

150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773

12201 Bluegrass Pkwy
Louisville, KY 40299
Phone (502) 568-7364

2529 Six Mile Ln
Louisville, KY 40220
Phone (502) 491-5560

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

805 N Whittington Pkwy
Ste 400
Louisville, KY 40222
Phone (502) 272-3438

9204 Taylorsville Rd
Ste 217
Louisville, KY 40299
Phone (502) 709-0430

805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000

1360 Rogersville Rd
Radcliff, KY 40160
Phone (270) 351-1150

648 University Shopping Ctr
Richmond, KY 40475
Phone (859) 623-1950

Organizations & group practices 9

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 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": "1274054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274054400000",
    "number": "1992023816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2119",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427022119",
            "telephone_number": "270-706-1165",
            "fax_number": "270-706-1167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3795 E JOHN ROWAN BLVD",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400043214",
            "telephone_number": "502-348-9960",
            "fax_number": "502-348-9962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "ANDREA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-17",
        "last_updated": "2010-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "6419P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bardstown, KY

Sources for this page

Verify at the official NPI Registry.