Individual provider Active NPI

Rosemary Nicole Ebertshauser, APRN

  • Family Nurse Practitioner
  • London, KY
National Provider Identifier
1992520035
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4033893 Issued in KY
Practice address
1374 Ky-192 East
Suite 300
London, KY 40741
Phone
(606) 231-6858
NPI assigned
Nov 21, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1154470 KY
Family Nurse Practitioner 363LF0000X 4033893 KY Primary

Addresses

Primary practice location

1374 Ky-192 East
Suite 300
London, KY 40741

Mailing address

390 Caribou Dr
London, KY 40744-8612
Phone (606) 231-6858

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
I20250211000646 KY Practitioner - Nurse Practitioner 0749710424 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1374 Ky 192
Suite 300
London, KY 40741
Phone (606) 260-8499

Hospital & facility affiliations

  • Baptist Health Corbin Hospital, Corbin, KY, CCN 180080
  • AdventHealthManchester Hospital, Manchester, KY, CCN 180043

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1154470KYMDRegistered Nurse
4033893KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
His Hands Family Practice LLC CurrentSince Jul 22, 2025 Accepting new patients
His Hands Family Practice LLC CurrentSince Aug 16, 2025 Accepting new patients
Kiosk Medicine Kentucky LLC Family CurrentSince Jan 24, 2025 Accepting new patients
Kiosk Medicine Kentucky LLC Family CurrentSince May 18, 2025 Accepting new patients
Concord Medical Group of Kentucky PLLC Family CurrentSince Dec 20, 2025 Accepting new patients

Locations

1700 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

200 Skywatch Dr
Danville, KY 40422
Phone (859) 236-0408

1374 Highway 192 E
Ste 300
London, KY 40741
Phone (606) 231-6858

1675 S Main St
London, KY 40741
Phone (606) 878-5474

1675 S Main St
Ste B3
London, KY 40741
Phone (606) 260-5539

3039 Breckenridge Ln
Louisville, KY 40220
Phone (502) 451-4555

890 Richmond Plz
Richmond, KY 40475
Phone (859) 623-5155

90 Stonegate Ctr
Somerset, KY 42501
Phone (606) 451-4425

2620 Elm Hill Pike
Nashville, TN 37214
Phone (615) 425-4211

Organizations & group practices 5

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 2

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": "1732147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1992520035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 CARIBOU DR",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407448612",
            "telephone_number": "606-231-6858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1374 KY-192 EAST",
            "address_2": "SUITE 300",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "40741",
            "telephone_number": "606-231-6858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERTSHAUSER",
        "first_name": "ROSEMARY",
        "middle_name": "NICOLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-21",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1154470",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4033893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in London, KY

Sources for this page

Verify at the official NPI Registry.