CARMEL HENSLEY APRN
NPI 1174918544
Nurse Practitioner - Family in London, KY

Active since April 02, 2015PECOS EnrolledAccepts Medicare Assignment
192 LONDON SHOPPING CTR STE 2, LONDON, KY 40741(606) 330-7370 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 4, 2025, Dec 19, 2024, Jul 26, 2019 and 1 more (4 updates tracked since 2019).

About Carmel Hensley Aprn NPPES

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

CARMEL HENSLEY APRN (NPI 1174918544) is an individual family provider in London, Kentucky, licensed in Kentucky (3009325) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Saint Joseph London, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1174918544
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCARMEL HENSLEYCredential: APRN
Location Address192 LONDON SHOPPING CTR STE 2London, KY 40741-3015
Mailing AddressPo Box 936London, KY 40743-0936 · (606) 330-7835 · Fax (606) 330-7825
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateApril 2, 2015
Last NPPES UpdateAugust 4, 20254 updates tracked since enumeration
NPPES CertifiedAugust 4, 2025
NPI 1174918544 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
License Licensed in KY · 3009325
192 LONDON SHOPPING CTR STE 2, London, KY 40741

Secondary Practice Locations 2

Location 1378 Thompson Poynter RdLondon, KY 40741 · Phone (606) 877-3990 · Fax (606) 877-3993
Location 21025 Saint Joseph LnLondon, KY 40741-8345 · Phone (606) 330-2377 · Fax (606) 330-2369

Accepted 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

Carmel 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 ID2264732569
PECOS Enrollment IDI20151118000407
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 2

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.
46 services43 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Saint Joseph London

Acute Care Hospitals · London, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180011
Location1001 Saint Joseph LaneLondon, KY 40741 · Laurel County
Emergency services Birthing friendly

Baptist Health Corbin

Acute Care Hospitals · Corbin, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180080
LocationOne Trillium WayCorbin, KY 40701 · Whitley County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40741 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers11 claims24 services$6.57 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Family)
192 LONDON SHOPPING CTR STE 2
LONDON, KY 40741
Nurse Practitioner (Family)
192 LONDON SHOPPING CTR STE 2
LONDON, KY 40741

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 Carmel Hensley's NPI number?

The NPI number for Carmel Hensley is 1174918544. It was assigned to this individual provider in the NPPES registry on April 2, 2015.

Where is Carmel Hensley located?

Carmel Hensley practices at 192 London Shopping Ctr Ste 2, London, KY 40741. The listed phone number is (606) 330-7370.

What is Carmel Hensley's specialty?

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

Is Carmel Hensley enrolled in Medicare?

Yes. Carmel 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 Carmel Hensley accept?

Health plans from CareSource list Carmel 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 Carmel Hensley affiliated with any hospitals?

According to CMS data, Carmel Hensley is affiliated with Saint Joseph London and Baptist Health Corbin.

When was this NPI record last updated?

The NPPES record for Carmel Hensley was last updated on August 4, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.