Individual provider Active NPI

Alyssa Paula Ingram, APRN, FNP-C

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1992475271
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3016704 Issued in KY
Practice address
3607 Fern Valley Rd Ste 102
Louisville, KY 40219-1916
Phone
(502) 459-4900
NPI assigned
Sep 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3016704 KY
Family Nurse Practitioner 363LF0000X 3016704 KY Primary

Addresses

Primary practice location

3607 Fern Valley Rd Ste 102
Louisville, KY 40219-1916

Mailing address

5200 Commerce Crossings Dr FL 3
Louisville, KY 40229-2182
Phone (502) 253-4900

Other names 1

  • Alyssa Paula Ingram Former name

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
I20211027000610 KY Practitioner - Nurse Practitioner 1254729098 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians

Practice addresses (Care Compare)

7926 Preston Hwy
Suite 106
Louisville, KY 40219-3848
Phone (502) 964-4357

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3016704KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Community Medical Associates, Inc. Family Medicine CurrentSince Jul 1, 2023 Accepting new patients
Baptist Medical Associates Inc CurrentSince Dec 29, 2021 Accepting new patients
Brock Medical, LLC CurrentSince Oct 18, 2021 Accepting new patients
Fast Pace Kentucky PLLC CurrentSince Oct 18, 2021 Accepting new patients
Community Medical Associates, Inc. Family Current Accepting new patients
Baptist Health Medical Group Inc CurrentSince Dec 29, 2021 Accepting new patients
Community Medical Associates, Inc. Family Medicine Past Accepting new patients

Locations

110 W John Rowan Blvd
Bardstown, KY 40004
Phone (502) 337-7409

157 Towne Dr
Ste 104
Elizabethtown, KY 42701
Phone (270) 765-5926

202 Limestone St S
Ste 1C
Frankfort, KY 40601
Phone (502) 665-8377

1649 Highway 192 W
London, KY 40741
Phone (606) 330-0055

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

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

12903 Shelbyville Rd
Louisville, KY 40243
Phone (502) 244-5827

7926 Preston Hwy
Ste 106
Louisville, KY 40219
Phone (502) 964-4357

5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924

3607 Fern Valley Rd
#102
Louisville, KY 40219
Phone (502) 245-0767

Interoperability endpoints

  • Direct secure messaging: aingram20564@direct.nortonhealthcare.org

Organizations & group practices 8

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1992475271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 COMMERCE CROSSINGS DR FL 3",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402292182",
            "telephone_number": "502-253-4900",
            "fax_number": "502-489-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3607 FERN VALLEY RD STE 102",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402191916",
            "telephone_number": "502-459-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGRAM",
        "first_name": "ALYSSA",
        "middle_name": "PAULA",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-17",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "3016704",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3016704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "INGRAM",
            "middle_name": "PAULA",
            "credential": "KLEINHENZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.