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Active NPI 1184879736 Individual Practitioner Male Practitioner

Douglas Wayne Becker , NP

Nurse Practitioner • Edgewood, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Douglas Becker, NP is a certified Nurse Practitioner practicing in Edgewood, KY. With approximately 25 years of clinical experience since completing medical education in 2001, Douglas Becker delivers high-quality medical care to the local community at 1 MEDICAL VILLAGE DR.

Douglas Becker maintains professional affiliations with St Elizabeth Medical Center, Inc, Summit Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include follow-up hospital inpatient care per day, hospital observation care on day of discharge, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1 Medical Village Dr

Edgewood, KY 410173403

Telephone 8593012000
Fax 8593016910
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Edgewood, KY

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
25 Yrs +16.0 yrs vs City Avg
City Avg: 9.0 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
172 Specialists

Practicing in Edgewood, KY (1865 Statewide)

Telehealth Adoption Rate
4.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
53.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Becker (25 Years) 25 Yrs
Edgewood Specialty Average (9.0 Years) 9.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes
13 13 $68.00 $31.60

Medical Specialties & State Licenses

CMS Verified: 2025-12-19
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License KY 3003519

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License OH 10395

Definition to come...

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License IN 71001655A

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License OH 10395

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
78006475 (KY)
Commercial Insurance / Payer ID Caresource
611300608056 (OH)
Commercial Insurance / Payer ID Railroad Medicare
P00873403 (OH)

Hospital & Practice Group Affiliations

Summit Medical Group Inc

1 Medical Village Dr, Edgewood, KY 410173403

Phone: 8592124468

St Elizabeth Medical Center, Inc

1 Medical Village Dr, Edgewood, KY 410173403

Phone: 8593012237

Summit Medical Group Inc

600 Wilson Creek Rd, Lawrenceburg, IN 470252751

Phone: 8124968771

St Elizabeth Medical Center, Inc

600 Wilson Creek Rd, Lawrenceburg, IN 470252751

Phone: 8593012465

Secondary Practice Locations

8251 Pine Rd, Ste 220

Cincinnati, OH 452362191

Phone: 5139369191

350 Thomas More Pkwy

Crestview Hills, KY 41017

Phone: 8594260800

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Cara Hansen , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003155060

Certified Registered Nurse Anesthetist

Deborah Bliss , ACNP

Nurse Practitioner - Acute Care

NPI 1013059559
Stephanie Stegman , CRNA

Nurse Anesthetist, Certified Registered

NPI 1013533405

Certified Registered Nurse Anesthetist

Dr. Elle Kaiser , DNP, CRNA

Nurse Anesthetist, Certified Registered

NPI 1013582071

Doctor of Nursing Practice, Certified Registered Nurse Anesthetist

NPI 1023768264

Doctor of Osteopathic Medicine (D.O.)

Alexandra Wiesner , APRN

Nurse Practitioner

NPI 1023778123

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

17 Historical Events
📍
Updated Practice Location December 19, 2025

Registered at 1 MEDICAL VILLAGE DR, EDGEWOOD, KY 410173403 (Tel: 8593012000)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 19, 2025

Nurse Practitioner (License #3003519 in KY)

📍
Updated Practice Location September 04, 2018

Registered at 350 THOMAS MORE PKWY, CRESTVIEW HILLS, KY 41017 (Tel: 8594260800)

📍
Updated Business Mailing Address September 04, 2018

Registered at PO BOX 635283, CINCINNATI, OH 452635283 (Tel: 8593016160)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 04, 2018

Nurse Practitioner (License #10395 in OH)

NPI Profile Active December 28, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location December 28, 2017

Registered at 350 THOMAS MORE PKWY, CRESTVIEW HILLS, KY 410175465 (Tel: 8594260800)

📍
Updated Business Mailing Address December 28, 2017

Registered at 2300 CHAMBER CENTER DRIVE, FT. MITCHELL, KY 410171673 (Tel: 8594260800)

👤
Provider Name / Credentials Updated December 28, 2017

Recorded as DOUGLAS BECKER, N.P.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 28, 2017

Nurse Practitioner (License #3003519 in KY)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2017

Nurse Practitioner (License #10395 in OH)

NPI Profile Active September 18, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location September 18, 2015

Registered at 8251 PINE RD, STE 220, CINCINNATI, OH 452362191 (Tel: 5139369191)

📍
Updated Business Mailing Address September 18, 2015

Registered at 8251 PINE RD, STE 220, CINCINNATI, OH 452362191 (Tel: 5139369191)

👤
Provider Name / Credentials Updated September 18, 2015

Recorded as DOUGLAS BECKER, N.P.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2015

Nurse Practitioner (License #3003519 in KY)

🟢
Initial NPI Registration & Enumeration November 24, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184879736
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 24, 2008
Last Update: December 19, 2025
Sole Proprietor: No

Mailing Address

Po Box 635283

Cincinnati, OH 452635283

Phone: 8593016160

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.