Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ellen Azucena Kincaid, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1912673435

Ellen Azucena Kincaid, PMHNP is a Nurse Practitioner in Louisville, Kentucky. Qualified in 2020, 6 years ago. Practices with Seven Counties Services, Inc, a 90-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
6
Licensed in
KY
In the registry since
2021
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

2650 W Broadway
Louisville, KY 40211-1333
Phone: (502) 589-8723
Fax: (502) 775-5292
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 3016416 (KY)

Record details

NPI number1912673435
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP
Sole proprietorYes
NPI enumeratedAugust 17, 2021
Last updated in NPPESAugust 17, 2021
Certification dateAugust 17, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Seven Counties Services, Inc — 90 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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