MATTHEW ALLAN HENSLEY APRN
NPI 1073820205
Nurse Practitioner - Family in Ashland, KY

Q: What is Matthew Hensley's NPI number?

The NPI number for Matthew Hensley is 1073820205. It was assigned to this individual provider in the NPPES registry on September 9, 2010.

Q: What is Matthew Hensley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Hensley was last updated on May 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 09, 2010PECOS EnrolledAccepts Medicare Assignment

85.07/100

CMS Quality Rating

2245 WINCHESTER AVE, ASHLAND, KY 41101(606) 408-2600(606) 408-2605 Get Directions Write a Review

NPPES record last updated: May 4, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Matthew Allan Hensley Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW ALLAN HENSLEY APRN (NPI 1073820205) is an individual family provider in Ashland, Kentucky, licensed in Kentucky (3006582) and active in the NPI registry since September 2010. He is enrolled in Medicare PECOS, is affiliated with King's Daughters' Medical Center, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1073820205

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMATTHEW ALLAN HENSLEYCredential: APRN

Location Address2245 WINCHESTER AVEAshland, KY 41101-7848

Mailing AddressPo Box 1595Ashland, KY 41105-1595 · (606) 408-6200 · Fax (606) 408-6612

Phone(606) 408-2600

Fax(606) 408-2605

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateSeptember 9, 2010

Last NPPES UpdateMay 4, 2015

✔ NPI 1073820205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in KY · 3006582✔ Licensed in OH · 11772-NP

2245 WINCHESTER AVE, Ashland, KY 41101

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Other Identifiers 8

Medicaid3810019002WV

Medicare PINNP38171OH

OtherP00962937KY · Rr Medicare

Medicare PINH179100OH

OtherP00901248OH · Rr Medicare

Medicaid3091032OH

Medicare PINP400027082KY

Medicaid7100144230KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Matthew Allan Hensley Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163616103

PECOS Enrollment IDI20101103000628, I20101115000416

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

225 services206 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

79 services77 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

39 services39 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

King's Daughters' Medical Center

Acute Care Hospitals · Ashland, KY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180009

Location2201 Lexington AvenueAshland, KY 41101 · Boyd County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41101 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.07/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

76.96

Promoting Interoperability

100

Improvement Activities

Cost

64.52

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. FRANKLIN W FANNIN M.D.

Emergency Medicine

2245 WINCHESTER AVE
ASHLAND, KY 41101

Boyd County (606) 408-2600

BARBARA COLLIER HALE APRN

Nurse Practitioner (Family)

2245 WINCHESTER AVE
ASHLAND, KY 41101

Boyd County (606) 408-2600

MR. DONALD MORRIS RAMEY JR. NURSE PRACTITIONER

Nurse Practitioner (Family)

2245 WINCHESTER AVE
ASHLAND, KY 41101

Boyd County (606) 408-4000

RACHEL ANN CORDLE APRN

Nurse Practitioner (Family)

2245 WINCHESTER AVE
ASHLAND, KY 41101

Boyd County (606) 408-2600

MS. TRACY L HUNTER CNM, WHNP

Nurse Practitioner (Women's Health)

2245 WINCHESTER AVE, SUITE 1
ASHLAND, KY 41101

Boyd County (606) 324-2554

MICHAEL ALAN MOORE APRN

Nurse Practitioner (Family)

2245 WINCHESTER AVE
ASHLAND, KY 41101

Boyd County (606) 408-2600

MS. NICOLE L. WEBER-KULWICKI NP

Nurse Practitioner

2245 WINCHESTER AVE
ASHLAND, KY 41101

Boyd County (606) 408-2600

RICHARD F. FORD, MD, PSC

Specialist

2245 WINCHESTER AVE, SUITE 1
ASHLAND, KY 41101

Boyd County (606) 324-2554

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Hensley's NPI number?

The NPI number for Matthew Hensley is 1073820205. It was assigned to this individual provider in the NPPES registry on September 9, 2010.

Where is Matthew Hensley located?

Matthew Hensley practices at 2245 Winchester Ave, Ashland, KY 41101. The listed phone number is (606) 408-2600.

What is Matthew Hensley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Matthew Hensley enrolled in Medicare?

Yes. Matthew Hensley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Matthew Hensley accept?

Health plans from CareSource and Molina Healthcare list Matthew Hensley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Matthew Hensley affiliated with any hospitals?

According to CMS data, Matthew Hensley is affiliated with King's Daughters' Medical Center.

When was this NPI record last updated?

The NPPES record for Matthew Hensley was last updated on May 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.