Mrs Michelle Sims, APRN | |
1107 Crown Pointe Dr Ste 107, Elizabethtown, KY 42701-7280 | |
(270) 506-3300 | |
(270) 506-2843 |
Full Name | Mrs Michelle Sims |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 1107 Crown Pointe Dr Ste 107, Elizabethtown, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255703922 | NPI | - | NPPES |
QZZ000000090336 | Other | KY | AETNA BETTER HEALTH OF KENTUCKY PROVIDER ID NUMBER |
CS2023900271 | Other | CARESOURCE PROVIDER ID NUMBER | |
300039597 | Medicaid | IN | |
000001394037 | Other | ANTHEM PROVIDER ID NUMBER | |
3009835 | Other | KY | LICENSE NUMBER |
7100387780 | Medicaid | KY | |
286322 | Other | SIHO PROVIDER ID NUMBER | |
2241647 | Other | KY | WELLCARE OF KENTUCKY PROVIDER ID NUMBER |
P02538343 | Other | KY | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 3009835 (Kentucky) | Primary |
Entity Name | Commonwealth Pain Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306280177 PECOS PAC ID: 0941441919 Enrollment ID: O20130802000577 |
Mailing Address | Practice Location Address |
---|---|
Mrs Michelle Sims, APRN 223 Executive Park, Louisville, KY 40207-4202 Ph: (502) 907-0356 | Mrs Michelle Sims, APRN 1107 Crown Pointe Dr Ste 107, Elizabethtown, KY 42701-7280 Ph: (270) 506-3300 |
Stephanie Rae Kelty, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1301 Ring Rd, Elizabethtown, KY 42701 Phone: 270-765-2107 Fax: 270-769-9642 | |
Christina M Wills, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1107 Crown Pointe Dr Ste 107, Elizabethtown, KY 42701 Phone: 270-506-3300 Fax: 270-506-2843 | |
Lisa Christine Gaines, DNP, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 W Dixie Ave, Elizabethtown, KY 42701 Phone: 502-644-9162 | |
Dr. Marguerite Vernette Mcbride, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3040 Dolphin Dr, Elizabethtown, KY 42701 Phone: 270-765-3488 | |
Mrs. Chelsea Danielle Thorn, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1107 Crown Pointe Dr Ste 107, Elizabethtown, KY 42701 Phone: 270-506-3300 Fax: 270-506-2843 | |
Ms. Kristen Renee Ryan, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1230 Woodland Dr Ste 207, Elizabethtown, KY 42701 Phone: 270-600-7001 Fax: 270-600-7002 | |
Elizabeth Anne Shelton, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 913 N Dixie Ave, Elizabethtown, KY 42701 Phone: 270-737-1212 |