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

Individual provider Nurse Practitioner · NPI 1194181289

Vicky L Raisor, APRN is a Nurse Practitioner in Louisville, Kentucky. Qualified in 2015, 11 years ago. Practices with Pearl Geriatrics and Palliative Medicine, PSC, a 6-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
11
Licensed in
KY
In the registry since
2016
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

4200 Gardiner View Ave Ste 101
Louisville, KY 40213-1877
Phone: (502) 456-0494
Fax: (502) 456-0496
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 3009998 (KY)

Record details

NPI number1194181289
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedJanuary 6, 2016
Last updated in NPPESJanuary 6, 2016

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Pearl Geriatrics And Palliative Medicine, Psc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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