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WILLIAM JOSHUA HENSLEY APRN
NPI 1740761147
Nurse Practitioner - Family in Ashland, KY

Active since August 23, 2018PECOS EnrolledAccepts Medicare Assignment
82.94/100
CMS Quality Rating
613 23RD ST STE G10, ASHLAND, KY 41101(606) 408-0876(606) 408-6985 Get Directions Write a Review

NPPES record last updated: August 29, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 29, 2018, Aug 23, 2018 (2 updates tracked since 2018).

About William Joshua Hensley Aprn NPPES

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

WILLIAM JOSHUA HENSLEY APRN (NPI 1740761147) is an individual family provider in Ashland, Kentucky, licensed in Kentucky (3012503) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS, is affiliated with King's Daughters' Medical Center, and is a graduate of Ohio Medical University (2018).

NPPES Registry Identity

NPI1740761147
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameWILLIAM JOSHUA HENSLEYCredential: APRN
Location Address613 23RD ST STE G10Ashland, KY 41101
Mailing AddressPo Box 1595Ashland, KY 41105-1595 · (606) 408-6200 · Fax (606) 408-6612
Phone(606) 408-0876
Fax(606) 408-6985
Sole ProprietorNo
Medical School CMSOhio Medical UniversityGraduated 2018
Enumeration DateAugust 23, 2018
Last NPPES UpdateAugust 29, 20182 updates tracked since enumeration
✔ NPI 1740761147 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 · 3012503
613 23RD ST STE G10, Ashland, KY 41101
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

William Joshua 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 ID3274885009
PECOS Enrollment IDI20181005002219
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 6

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 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.
100 services62 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.
67 services51 patients
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.
57 services36 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.
24 services24 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
16 services16 patients
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.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Three Rivers Medical Center

Acute Care Hospitals · Louisa, KY
3/5 CMS rating
OwnershipProprietary
CMS Certification Number180128
Location2485 Highway 644Louisa, KY 41230 · Lawrence 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.

82.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.01
Promoting Interoperability100
Improvement Activities40
Cost65.57

Referred Medical Equipment & Supplies CMS DME claims 22

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
7 suppliers35 claims35 services$43.97 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
3 suppliers11 claims22 services$1.98 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
8 suppliers41 claims41 services$107.63 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers36 claims99 services$39.64 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
2 suppliers13 claims74 services$24.75 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers23 claims23 services$74.70 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 20

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

SANA GHALIB MD
Internal Medicine (Pulmonary Disease)
613 23RD ST STE G10
ASHLAND, KY 41101
Boyd County (606) 408-5864
JERRY D DICKESS
Physician Assistant
613 23RD ST STE G10
ASHLAND, KY 41101
Boyd County (064) 085-8646
CHELSEY NICOLE WHITE D.O.
Internal Medicine (Pulmonary Disease)
613 23RD ST STE G10
ASHLAND, KY 41101
Boyd County (606) 408-5864
ASHLEY MALONE MSN, RN, FNP-BC
Nurse Practitioner (Family)
613 23RD ST STE G10
ASHLAND, KY 41101
Boyd County (606) 408-5864
KINGS DAUGHTERS MEDICAL SPECIALTIES INC
Internal Medicine (Pulmonary Disease)
613 23RD ST STE G10
ASHLAND, KY 41101
Boyd County (606) 408-5864
JESSICA R HICKS APRN
Nurse Practitioner (Family)
613 23RD ST STE G10
ASHLAND, KY 41101
Boyd County (606) 329-1185
CASSIE L. BRADFORD APRN-CNP
Nurse Practitioner (Gerontology)
613 23RD ST STE G10
ASHLAND, KY 41101
Boyd County (606) 408-5864
BRITTANY ELAINE LINN
Nurse Practitioner (Family)
613 23RD ST STE G10
ASHLAND, KY 41101
Boyd County (606) 408-5864

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 William Hensley's NPI number?

The NPI number for William Hensley is 1740761147. It was assigned to this individual provider in the NPPES registry on August 23, 2018.

Where is William Hensley located?

William Hensley practices at 613 23rd St Ste G10, Ashland, KY 41101. The listed phone number is (606) 408-0876.

What is William Hensley's specialty?

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

Is William Hensley enrolled in Medicare?

Yes. William 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 William Hensley accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare list William 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 William Hensley affiliated with any hospitals?

According to CMS data, William Hensley is affiliated with King's Daughters' Medical Center and Three Rivers Medical Center.

When was this NPI record last updated?

The NPPES record for William Hensley was last updated on August 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.