ELLEN AZUCENA KINCAID (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1912673435
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,347 NURSE PRACTITIONER in KY
Provider Addresses for ELLEN AZUCENA KINCAID (PMHNP)
1013 HICKORY SWITCH RD
LA GRANGE, KY 400318921
Phone: (502) 758-0029
Type: Mailing
2650 W BROADWAY
LOUISVILLE, KY 402111333
Phone: (502) 589-8723
Fax: (502) 775-5292
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $113.
Total Amount is formed as General ($113) + Research ($0) + Ownership ($0) = $113.
Last reported payment date: 2023-01-31 • Largest payer in this snapshot: Neurocrine BioSciences, Inc. ($113).
Total Amount
$113
General + Research + Ownership
Payments
1
Total payment records
General Amount
$113
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-01-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Neurocrine BioSciences, Inc. | $113 |
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: 2021-08-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210827000265 | I | Nurse Practitioner | KY | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 109 | 51 | $0 |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 22 | 14 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 16 | 13 | $0 |
Insurance plans in this area (ZIP 40031)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | KY | |
| Clinical Social Worker | KY | |
| - | KY | |
| Clinical Social Worker | KY | |
| Clinical Social Worker | KY | |
| - | KY | |
| - | KY | |
| - | KY | |
| - | KY | |
| - | KY |
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