PARK DUVALLE AT PLEASURE RIDGE PARK HEALTH CENTER
NPI 1811545403
Clinic/Center - Federally Qualified Health Center (FQHC) in Louisville, KY
About Park Duvalle At Pleasure Ridge Park Health Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PARK DUVALLE AT PLEASURE RIDGE PARK HEALTH CENTER (NPI 1811545403) is a healthcare organization registered as a federally qualified health center (fqhc) in Louisville, Kentucky and active in the NPI registry since August 2019. The organization lists Swannie Jett, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Park Duvalle At Pleasure Ridge Park Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
22Medicare enrollment records show 22 clinicians reassign Medicare billing to Park Duvalle At Pleasure Ridge Park Health Center, which bills Medicare for the services they deliver. Of these, 18 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 22Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Park Duvalle Community Health Center, Inc's NPI number?
The NPI number for Park Duvalle Community Health Center, Inc is 1811545403. It was assigned to this organization in the NPPES registry on August 28, 2019. The provider is doing business as Park Duvalle At Pleasure Ridge Park Health Center.
Where is Park Duvalle Community Health Center, Inc located?
Park Duvalle Community Health Center, Inc is located at 5901 Greenwood Rd, Louisville, KY 40258. The listed phone number is (502) 774-4401.
What is Park Duvalle Community Health Center, Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Park Duvalle Community Health Center, Inc enrolled in Medicare?
Yes. Park Duvalle Community Health Center, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Park Duvalle Community Health Center, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 22 clinicians in 6 Medicare specialties reassign their Medicare billing to Park Duvalle Community Health Center, Inc. A 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 the clinician's services. The largest specialties are Nurse Practitioner (16), Clinical Social Worker (2) and Dentist (1). Of these, 18 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Park Duvalle Community Health Center, Inc accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Park Duvalle Community Health Center, Inc 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.
When was this NPI record last updated?
The NPPES record for Park Duvalle Community Health Center, Inc was last updated on November 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Park Duvalle At Pleasure Ridge Park Health Center · NPI 1811545403
Federally Qualified Health Center (FQHC) organization in Louisville, Kentucky. Organization record, active in the CMS NPPES registry since August 28, 2019.
## Identity
- **NPI:** 1811545403 (Entity type: Organization)
- **Enumerated:** August 28, 2019
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Park Duvalle Community Health Center, Inc
- **Organization subpart:** Yes (part of Park Duvalle Community Health Center, Inc)
- **Authorized official:** Swannie Jett, CEO
## Practice location
- **Address:** 5901 GREENWOOD RD, Louisville, KY 40258-2409
- **Phone:** (502) 774-4401
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 22 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (16), Clinical Social Worker (2), Dentist (1); 18 practice within 10 miles; [full list](https://npiprofile.com/npi/1811545403/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 2, 2021
- **Other identifiers:** Medicaid 31000011 (KY)
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Source: [NPI Profile](https://npiprofile.com/npi/1811545403) · Data from the CMS NPPES public registry.