Active NPI
Rosemary Nicole Ebertshauser, APRN
- Family Nurse Practitioner
- London, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4033893
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- AdventHealthManchester
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1154470 | KY | MD | Registered Nurse |
| 4033893 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| His Hands Family Practice LLC | Current | Accepting new patients | |
| His Hands Family Practice LLC | Current | Accepting new patients | |
| Kiosk Medicine Kentucky LLC | Family | Current | Accepting new patients |
| Kiosk Medicine Kentucky LLC | Family | Current | Accepting new patients |
| Concord Medical Group of Kentucky PLLC | Family | Current | 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.
-
- Emergency Medicine Physician
- Hardinsburg, KY
- NPI 1346746385
Family, KY
-
- Primary Care Clinic/Center
- London, KY
- NPI 1275424525
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; 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.