Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1811793425 Individual Practitioner Female Practitioner

Mary Kristen Jo Conner , APRN

Nurse Practitioner • La Grange, KY

Professional Overview & Biography Verified Profile Summary

Mary Conner, APRN is a registered healthcare professional specializing in Nurse Practitioner in La Grange, KY. Practice services are available at 1025 NEW MOODY LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1025 New Moody Ln

La Grange, KY 400319154

Telephone 5022225388
Associated Practice Facility / Clinic
🏢 Northeast Joint Venture, Llc Facility NPI 1669420063

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in La Grange, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.0 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
9 Specialists

Practicing in La Grange, KY (1865 Statewide)

Telehealth Adoption Rate
11.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-02-24
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License KY 4033989

(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

Commercial Insurance / Payer ID Kbn License Number
4033989 (KY)

Practice Associates & Co-Workers

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

6 Associated Practitioners
Dr. Ryan Smith , MD

Emergency Medicine

NPI 1073706651

Doctor of Medicine (M.D.)

NPI 1154016574

Doctor of Pharmacy (Pharm.D.)

Catherine Siegel , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1235909128

Advanced Practice Registered Nurse

Trevor Evans

Nurse Anesthetist, Certified Registered

NPI 1245763085
Dr. Joshua French , MD

Emergency Medicine

NPI 1275036238

Doctor of Medicine (M.D.)

Amy Smith , PA

Physician Assistant

NPI 1306417993

Physician Assistant

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 24, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location February 24, 2025

Registered at 1025 NEW MOODY LN, LA GRANGE, KY 400319154 (Tel: 5022225388)

📍
Updated Business Mailing Address February 24, 2025

Registered at 1811 CHERRY GLEN DR, LA GRANGE, KY 400316968 (Tel: 5027412169)

👤
Provider Name / Credentials Updated February 24, 2025

Recorded as MARY CONNER, APRN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2025

Nurse Practitioner (License #4033989 in KY)

🟢
Initial NPI Registration & Enumeration February 24, 2025

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: 1811793425
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 24, 2025
Last Update: February 24, 2025
Sole Proprietor: No

Mailing Address

1811 Cherry Glen Dr

La Grange, KY 400316968

Phone: 5027412169

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.