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

Mr. Douglas Wayne Becker, NP

Individual provider Nurse Practitioner · NPI 1184879736

Mr. Douglas Wayne Becker, NP is a Nurse Practitioner in Edgewood, Kentucky. Qualified in 2001, 25 years ago. Practices with St Elizabeth Medical Center, Inc, a 186-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Indiana, Kentucky and Ohio.

Years since qualifying
25
Licensed in
IN, KY, OH
In the registry since
2008
Specialties on file
4
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

1 Medical Village Dr
Edgewood, KY 41017-3403
Phone: (859) 301-2000
Fax: (859) 301-6910
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 350 Thomas More Pkwy, Crestview Hills, KY 41017 — (859) 426-0800
  • 8251 Pine Rd, Cincinnati, OH 45236-2191 — (513) 936-9191

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 3003519 (KY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 10395 (OH)
Nurse Practitioner Taxonomy 363L00000X · Licence 71001655A (IN)
Nurse Practitioner Taxonomy 363L00000X · Licence 10395 (OH)

Record details

NPI number1184879736
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedNovember 24, 2008
Last updated in NPPESDecember 19, 2025
Certification dateDecember 19, 2025
Mailing addressPo Box 635283, Cincinnati, OH 45263-5283

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice St Elizabeth Medical Center, Inc — 186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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