HILLARY SOWDER APRN
NPI 1548880206
Nurse Practitioner in Danville, KY

Active since April 23, 2020PECOS EnrolledAccepts Medicare Assignment
217 S 3RD ST, DANVILLE, KY 40422(859) 239-1000 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 12, 2026, Nov 24, 2021, Jul 14, 2021 and 2 more (5 updates tracked since 2020).

About Hillary Sowder Aprn NPPES

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

HILLARY SOWDER APRN (NPI 1548880206) is an individual nurse practitioner in Danville, Kentucky, licensed in Kentucky (3014621) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Ephraim Mcdowell Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1548880206
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameHILLARY SOWDERCredential: APRN
Location Address217 S 3RD STDanville, KY 40422-1823
Mailing AddressPo Box 990Danville, KY 40423-0990 · (859) 239-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 23, 2020
Last NPPES UpdateJune 15, 20265 updates tracked since enumeration
NPPES CertifiedJune 15, 2026
✔ NPI 1548880206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in KY · 3014621
Definition
(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.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 301464 (KY)
217 S 3RD ST, Danville, KY 40422

Other Names 1

Other Name (5)Hillary Hutchison Aprn

Secondary Practice Locations 2

Location 1216 W Walnut St Ste ADanville, KY 40422-1858 · Phone (859) 239-5870 · Fax (859) 239-5869
Location 21075 E Lexington AveDanville, KY 40422-1766 · Phone (859) 712-2041 · Fax (859) 286-6952

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Hillary Sowder 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 ID446654990
PECOS Enrollment IDI20210806000093
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Hillary Sowder reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist
217 S 3RD ST FL 4
Danville, KY 40422
  • Reassigned Medicare billing, Kentucky enrollment
  • 5 clinicians in this Medicare group
Medical Specialty
216 WEST WALNUT, SUITE B
Danville, KY 40422
  • Reassigned Medicare billing, Kentucky enrollment
  • 247 clinicians in this Medicare group
Clinic/Center
92 PLAZA DRIVE
Lawrenceburg, KY 40342
  • Reassigned Medicare billing, Kentucky enrollment
  • 10 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Ephraim Mcdowell Regional Medical Center

Acute Care Hospitals · Danville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180048
Location217 South Third StreetDanville, KY 40422 · Boyle County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40422 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.

Other Providers at the Same Location NPPES 20

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

Pathology (Anatomic Pathology & Clinical Pathology)
217 S 3RD ST
DANVILLE, KY 40422
Nurse Practitioner (Family)
217 S 3RD ST
DANVILLE, KY 40422
Pharmacist
217 S 3RD ST, PHARMACY
DANVILLE, KY 40422
Nurse Anesthetist, Certified Registered
217 S 3RD ST
DANVILLE, KY 40422
Nurse Practitioner (Acute Care)
217 S 3RD ST
DANVILLE, KY 40422
Emergency Medicine
217 S 3RD ST
DANVILLE, KY 40422
Pathology (Anatomic Pathology & Clinical Pathology)
217 S 3RD ST
DANVILLE, KY 40422
Emergency Medicine
217 S 3RD ST
DANVILLE, KY 40422

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 Hillary Sowder's NPI number?

The NPI number for Hillary Sowder is 1548880206. It was assigned to this individual provider in the NPPES registry on April 23, 2020. The provider is also known as Hillary Hutchison Aprn.

Where is Hillary Sowder located?

Hillary Sowder practices at 217 S 3rd St, Danville, KY 40422. The listed phone number is (859) 239-1000.

What is Hillary Sowder's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Hillary Sowder enrolled in Medicare?

Yes. Hillary Sowder 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.

Which organizations bill Medicare for Hillary Sowder's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hillary Sowder reassigns Medicare benefits to 3 organizations: Hospitalist Associates Of Lexington (Danville, KY), Ephraim Mcdowell Health Resource, Inc. (Danville, KY) and Spivey Medical, PLLC (Lawrenceburg, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Hillary Sowder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hillary Sowder accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Hillary Sowder 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 Hillary Sowder affiliated with any hospitals?

According to CMS data, Hillary Sowder is affiliated with Ephraim Mcdowell Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Hillary Sowder was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.