Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Ethan Beasley, APRNFNP-C

Individual provider Family Nurse Practitioner · NPI 1831766831

Mr. Ethan Beasley, APRNFNP-C is a Nurse Practitioner in Lexington, Kentucky. Qualified in 2021, 5 years ago. Practices with University of Kentucky, a 786-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
5
Licensed in
KY
In the registry since
2021
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Practice location Address checks out

740 S Limestone Ste L104
Lexington, KY 40536-1991
Phone: (859) 257-3253
Fax: (859) 323-1203
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 212 Kroger Way, Versailles, KY 40383-1991 — (859) 297-1072

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 3016193 (KY)

Record details

NPI number1831766831
Entity typeIndividual (Type 1)
GenderMale
Credentials APRNFNP-C
Sole proprietorYes
NPI enumeratedJune 8, 2021
Last updated in NPPESSeptember 16, 2022
Certification dateSeptember 16, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice University Of Kentucky — 786 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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