Elise A. Puffer , APRN
Nurse Practitioner • Louisville, KY
100 Mallard Creek Road, Suite 320
Louisville, KY 402075136
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on August 20, 2012; this date does not establish years in practice.
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Published CMS data list 1,578 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 36415 — Insertion of needle into vein for collection of blood sample: 412 service units.
- 99214 — Established patient outpatient office visit: 400 service units.
- G2211 — Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's: 213 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 16 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 4,885 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Atorvastatin Calcium — 344 prescription fills, including refills.
- Amlodipine Besylate — 338 prescription fills, including refills.
- Levothyroxine Sodium — 279 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 109 records in the table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 85% of clinicians listed under Nurse Practitioner in Louisville, KY (2024, 240 clinicians with data). Median for this group: 365. Middle half: 125 to 720.
More Medicare Part B services than 90% of clinicians listed under Nurse Practitioner in Kentucky (2024, 944 clinicians with data). Median for this group: 280. Middle half: 106 to 647.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 1,110 in 2020 to 1,578 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
100 Mallard Creek Road
Suite 320
Louisville, KY 402075136
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Community Medical Associates Inc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2012
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
243 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $100,401 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $77,078 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
11,624 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$318,079 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $239.40 across 2 records.
By nature of payment
- Food and Beverage: $239.40 across 2 records.
Reporting-company totals
- Alnylam Pharmaceuticals Inc.: $119.70 across 1 record.
- Phathom Pharmaceuticals, Inc.: $119.70 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
14 years (graduated 2012)
CMS Doctors and Clinicians data list 2012 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2012
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Elise Puffer has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Elise Puffer as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Louisville and Kentucky
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 85% of clinicians listed under Nurse Practitioner in Louisville, KY (2024, 240 clinicians with data). Median for this group: 365. Middle half: 125 to 720.
More Medicare Part B services than 90% of clinicians listed under Nurse Practitioner in Kentucky (2024, 944 clinicians with data). Median for this group: 280. Middle half: 106 to 647.
Medicare-allowed amount
A higher Medicare-allowed amount than 90% of clinicians listed under Nurse Practitioner in Louisville, KY (2024, 240 clinicians with data). Median for this group: $24,151. Middle half: $9,238 to $47,451.
A higher Medicare-allowed amount than 90% of clinicians listed under Nurse Practitioner in Kentucky (2024, 944 clinicians with data). Median for this group: $18,877. Middle half: $5,871 to $39,639.
Paid by Medicare
A higher Medicare payment amount than 90% of clinicians listed under Nurse Practitioner in Louisville, KY (2024, 240 clinicians with data). Median for this group: $18,174. Middle half: $6,770 to $35,452.
A higher Medicare payment amount than 90% of clinicians listed under Nurse Practitioner in Kentucky (2024, 944 clinicians with data). Median for this group: $13,914. Middle half: $4,523 to $29,194.
Medicare Part D prescriptions
More Part D prescriptions than 90% of clinicians listed under Nurse Practitioner in Louisville, KY (2024, 250 clinicians with data). Median for this group: 559. Middle half: 139 to 2,012.
More Part D prescriptions than 85% of clinicians listed under Nurse Practitioner in Kentucky (2024, 1,102 clinicians with data). Median for this group: 633. Middle half: 141 to 2,431.
Part D drug cost
A higher Part D drug cost than 75% of clinicians listed under Nurse Practitioner in Louisville, KY (2024, 250 clinicians with data). Median for this group: $54,253. Middle half: $2,600 to $248,485.
A higher Part D drug cost than 75% of clinicians listed under Nurse Practitioner in Kentucky (2024, 1,102 clinicians with data). Median for this group: $39,302. Middle half: $2,189 to $261,356.
451 active clinicians are listed under Nurse Practitioner with a practice address in Louisville, KY (1,832 in Kentucky).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Louisville
12.6% of these 451 clinicians have the CMS telehealth indicator.
58.8% of these 451 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 42% from 1,110 in 2020 to 1,578 in 2024.
- 2020: 1,110
- 2021: 1,414
- 2022: 1,360
- 2023: 1,309
- 2024: 1,578
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Medicare-allowed amount
Medicare-allowed amount increased 64% from $61,192 in 2020 to $100,401 in 2024.
- 2020: $61,192
- 2021: $82,505
- 2022: $84,466
- 2023: $82,211
- 2024: $100,401
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Paid by Medicare
Paid by Medicare increased 65% from $46,672 in 2020 to $77,078 in 2024.
- 2020: $46,672
- 2021: $63,889
- 2022: $63,362
- 2023: $62,846
- 2024: $77,078
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 25% from 3,903 in 2020 to 4,885 in 2024.
- 2020: 3,903
- 2021: 4,587
- 2022: 4,467
- 2023: 4,375
- 2024: 4,885
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30-day fills
30-day fills increased 39% from 8,374 in 2020 to 11,624 in 2024.
- 2020: 8,374
- 2021: 9,922
- 2022: 10,145
- 2023: 10,367
- 2024: 11,624
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Part D drug cost
Part D drug cost increased 64% from $194,408 in 2020 to $318,079 in 2024.
- 2020: $194,408
- 2021: $224,125
- 2022: $240,842
- 2023: $321,589
- 2024: $318,079
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $242.51 in 2021 to $239.40 in 2025.
- 2021: $242.51
- 2022: $726.05
- 2023: $249.26
- 2024: $17.46
- 2025: $239.40
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $239.40.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Alnylam Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
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GIVLAARI | General | $119.70 |
| Phathom Pharmaceuticals, Inc. |
Food and Beverage
Cash or cash equivalent
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VOQUEZNA | General | $119.70 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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36415
Insertion of needle into vein for collection of blood sample
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412 | 198 | $25.43 | $8.65 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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400 | 187 | $327.94 | $105.93 |
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G2211
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
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213 | 139 | $45.00 | $13.91 |
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G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
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120 | 120 | $355.40 | $108.92 |
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99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
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119 | 78 | $441.97 | $150.30 |
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G0008
Administration of influenza virus vaccine
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62 | 60 | $97.55 | $29.50 |
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90662
Influenza vaccine split virus, preservative free
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59 | 57 | $307.36 | $80.14 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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43 | 41 | $220.19 | $74.87 |
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81003
Automated urinalysis test
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37 | 34 | $21.19 | $2.20 |
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69210
Removal of impacted ear wax
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28 | 24 | $150.50 | $39.15 |
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71046
X-ray of chest, 2 views
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21 | 21 | $88.19 | $26.75 |
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93000
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
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16 | 16 | $77.69 | $11.67 |
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99496
Transitional care management services for problem of high complexity
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13 | 12 | $704.00 | $231.91 |
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90677
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use
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12 | 12 | $1129.00 | $287.49 |
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99495
Transitional care management services for problem of at least moderate complexity
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12 | 11 | $492.67 | $171.02 |
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G0009
Administration of pneumococcal vaccine
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11 | 11 | $94.09 | $29.73 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 344 | 29,827 | $2,923.51 | 112 |
| Amlodipine Besylate | Amlodipine Besylate | 338 | 27,025 | $1,431.69 | 95 |
| Levothyroxine Sodium | Levothyroxine Sodium | 279 | 21,566 | $2,468.34 | 73 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 213 | 19,015 | $2,434.12 | 75 |
| Duloxetine Hcl | Duloxetine Hcl | 179 | 12,531 | $5,592.16 | 62 |
| Lisinopril | Lisinopril | 155 | 12,791 | $702.28 | 46 |
| Omeprazole | Omeprazole | 136 | 11,139 | $1,058.10 | 58 |
| Losartan Potassium | Losartan Potassium | 130 | 11,520 | $1,075.52 | 41 |
| Metoprolol Succinate | Metoprolol Succinate | 116 | 9,608 | $1,180.47 | 36 |
| Montelukast Sodium | Montelukast Sodium | 109 | 9,330 | $1,001.70 | 37 |
| Pantoprazole Sodium | Pantoprazole Sodium | 92 | 7,969 | $1,287.87 | 32 |
| Sertraline Hcl | Sertraline Hcl | 91 | 6,762 | $530.79 | 25 |
| Zolpidem Tartrate | Zolpidem Tartrate | 91 | 2,895 | $415.35 | 14 |
| Methylprednisolone | Methylprednisolone | 83 | 498 | $355.37 | 68 |
| Trazodone Hcl | Trazodone Hcl | 83 | 6,652 | $666.47 | 26 |
| Furosemide | Furosemide | 75 | 5,391 | $328.06 | 32 |
| Gabapentin | Gabapentin | 68 | 2,717 | $714.16 | 19 |
| Amitriptyline Hcl | Amitriptyline Hcl | 66 | 4,560 | $790.49 | 18 |
| Hydrochlorothiazide | Hydrochlorothiazide | 65 | 5,680 | $295.59 | 21 |
| Ezetimibe | Ezetimibe | 64 | 5,040 | $1,480.27 | 24 |
| Fluticasone Propionate | Fluticasone Propionate | 59 | 4,230 | $660.02 | 25 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 59 | 1,688 | $1,212.29 | 29 |
| Citalopram Hbr | Citalopram Hydrobromide | 56 | 5,029 | $381.66 | 16 |
| Metoprolol Tartrate | Metoprolol Tartrate | 55 | 3,833 | $312.02 | 23 |
| Diclofenac Sodium | Diclofenac Sodium | 49 | 1,328 | $444.45 | 19 |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
NUCC Taxonomy Code: 363LF0000X
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20120912000748
KY
3375791551
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Community Medical Associates Inc
825 Barret Ave, Louisville, KY 402041743
Phone: 5022725165
Community Medical Associates Inc
100 Mallard Creek Rd, Louisville, KY 402075136
Community Medical Associates Inc
300 High Point Ct, Mount Washington, KY 400476560
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner - Family
Nurse Practitioner
Internal Medicine
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Family Nurse Practitioner (Certified)
Internal Medicine
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Medicine (M.D.)
Career & Practice History
NPI enumerated August 20, 2012.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Nurse Practitioners in Louisville
- Stacy Block, ARNP
- Melissa Patterson
- Kristy Robertson, APRN
- Dr. Deanna Stith, DNP
- Melissa Lamaster, APRN
- Kathy Blair, APRN
Mailing Address
Po Box 776351
Chicago, IL 606776351
Phone: 5025889490