AUDREY L CAVINS-EZELL (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1154899805

AUDREY L CAVINS-EZELL (APRN) is a healthcare provider. based in Owensboro, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 3012865 (KY). The NPI Number for AUDREY L CAVINS-EZELL (APRN) is 1154899805

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
AUDREY L CAVINS-EZELL (APRN)
NPI
1154899805
Phone
Not provided
Address
604 E 21ST ST
Enumeration Date
10 November 2018
Last Update Date
19 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
70279035833583
Graduation Year
2018 (8 years ago)
PAC ID
3971848839
Group Practice PAC ID
7012338981
Professional Enrollment ID
I20200303002665
Address ID
WA981882925TU16000RDXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:7State licenses:2Digital endpointsOther names

7,347 NURSE PRACTITIONER in KY

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Provider Addresses for AUDREY L CAVINS-EZELL (APRN)

  • 604, East 21st Street, Owensboro, Daviess County, Kentucky, 42303, United States

    OWENSBORO, KY 423033813

    Phone:

    Type: Mailing

  • 1100, Walnut Street, Owensboro, Daviess County, Kentucky, 42301, United States

    OWENSBORO, KY 423012956

    Phone: (270) 689-6500

    Type: Location

  • PO BOX 257

    OLYMPIA, WA 985070257

    Phone:

    Type: Mailing

  • 16000 CHRISTENSEN RD STE 200

    TUKWILA, WA 981882925

    Phone: (833) 719-0886

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-03-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200303002665INurse PractitionerWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes33672$0
99452Telephone or internet referral service, 30 minutes15382$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes7270$0
G0317Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualifi7026$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes3427$0
View full utilization report →

Insurance plans in this area (ZIP 42303)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012338981View full group profile
NameSpecialtyState
Mental Health CounselorWA
Clinical Social WorkerWA
Mental Health CounselorMO
Nurse PractitionerID
Mental Health CounselorWA
Nurse PractitionerTX
Nurse PractitionerWA
Nurse PractitionerWA
P S Y C H I A T R YMS
Nurse PractitionerWA

Reviews

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Frequently asked questions

Does AUDREY L CAVINS-EZELL (APRN) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — AUDREY L CAVINS-EZELL (APRN) uses 1154899805.
Can I rely on AUDREY L CAVINS-EZELL (APRN) being an active provider?
As of the registry snapshot, AUDREY L CAVINS-EZELL (APRN) is marked active.
What taxonomy line describes AUDREY L CAVINS-EZELL (APRN)?
For research purposes, treat AUDREY L CAVINS-EZELL (APRN) as Psychiatric/Mental Health Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where is AUDREY L CAVINS-EZELL (APRN) based?
AUDREY L CAVINS-EZELL (APRN) is tied to Owensboro, Kentucky in the data we show; additional addresses may exist on the full record.
Why does AUDREY L CAVINS-EZELL (APRN) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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