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HEATHER BREANN FENWICK
NPI 1992518823
Nurse Practitioner - Psychiatric/Mental Health in Campbellsville, KY

Active since January 27, 2025PECOS Enrolled
106 WINSTON WAY, CAMPBELLSVILLE, KY 42718(270) 789-0034 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Heather Breann Fenwick NPPES

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

HEATHER BREANN FENWICK (NPI 1992518823) is an individual psychiatric/mental health provider in Campbellsville, Kentucky, licensed in Kentucky (4034545) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992518823
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameHEATHER BREANN FENWICK
Location Address106 WINSTON WAYCampbellsville, KY 42718-4953
Mailing Address2422 Cissellville RdSpringfield, KY 40069-8301 · (859) 475-3999
Phone(270) 789-0034
Sole ProprietorYes
Enumeration DateJanuary 27, 2025
NPPES CertifiedJanuary 27, 2025
✔ NPI 1992518823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in KY · 4034545
106 WINSTON WAY, Campbellsville, KY 42718
Open in Google Maps ↗

Other Names 1

Former Name (1)Heather Breann Hasty

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heather Breann Fenwick is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Heather Fenwick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

One Cross Community, Inc.
Same address
Federally Qualified Health Center (FQHC)
106 WINSTON WAY
Campbellsville, KY 42718
  • Reassigned Medicare billing, Kentucky enrollment
  • 13 clinicians in this Medicare group
NPI 1447710314 (270) 789-0034

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42718 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 12

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

JENNIFER AVERBECK DNP APRN FNP-BC
Nurse Practitioner (Family)
106 WINSTON WAY
CAMPBELLSVILLE, KY 42718
Taylor County (270) 789-0034
CHRISTOPHER HON LPCA
Counselor (Professional)
106 WINSTON WAY
CAMPBELLSVILLE, KY 42718
Taylor County (270) 789-0034
JENNIFER MICHELLE WHITAKER
Nurse Practitioner (Family)
106 WINSTON WAY
CAMPBELLSVILLE, KY 42718
Taylor County (270) 789-0034
KIMBERLY DAWN BOWEN ARNP
Nurse Practitioner (Family)
106 WINSTON WAY
CAMPBELLSVILLE, KY 42718
Taylor County (270) 789-0039
MCKENZIE LYNN BLACKETER MSN, APRN, FNP
Nurse Practitioner (Family)
106 WINSTON WAY
CAMPBELLSVILLE, KY 42718
Taylor County (270) 789-0034
KIMBERLY ROSE MCKENNA ARNP
Nurse Practitioner (Family)
106 WINSTON WAY
CAMPBELLSVILLE, KY 42718
Taylor County (270) 789-0034
ONE CROSS COMMUNITY, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
106 WINSTON WAY
CAMPBELLSVILLE, KY 42718
Taylor County (270) 789-0034
CHRISTINA MALONEY
Nurse Practitioner (Family)
106 WINSTON WAY
CAMPBELLSVILLE, KY 42718
Taylor County (270) 789-0034

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 Heather Fenwick's NPI number?

The NPI number for Heather Fenwick is 1992518823. It was assigned to this individual provider in the NPPES registry on January 27, 2025. The provider is also known as Heather Breann Hasty.

Where is Heather Fenwick located?

Heather Fenwick practices at 106 Winston Way, Campbellsville, KY 42718. The listed phone number is (270) 789-0034.

What is Heather Fenwick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Heather Fenwick enrolled in Medicare?

Yes. Heather Fenwick is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Heather Fenwick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Fenwick reassigns Medicare benefits to One Cross Community, Inc. (Campbellsville, KY). The 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 Heather Fenwick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heather Fenwick accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter of Tennessee list Heather Fenwick 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 Heather Fenwick was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.