Leslie Pemberton, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

TP698 Issued in KY

Practice address

1921 Leitchfield Rd
Owensboro, KY 42303-1404

Phone

(270) 478-5334

Fax

(270) 216-6920

NPI assigned

Mar 30, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kentucky Skin Cancer Center PLLCGroup PAC ID 2668729336, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Owensboro Health Regional Hospital Hospital, Owensboro, KY, CCN 180038

Merit-based Incentive Payment System (MIPS)

Final score

87.28 of 100Reported as group

Quality

93.33

Promoting interoperability

82

Improvement activities

40

Cost

79.27

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kentucky Skin Cancer Center PLLC

  • MOHS-Micrographic Surgery Physician
  • Bowling Green, KY
  • NPI 1902302987
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Owensboro Health Inc

  • General Acute Care Hospital
  • Owensboro, KY
  • NPI 1285613612
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1003311036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3276",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477313276",
            "telephone_number": "812-473-0181",
            "fax_number": "812-473-5822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 LEITCHFIELD RD",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031404",
            "telephone_number": "270-478-5334",
            "fax_number": "270-216-6920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1065 Ashley St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "421033401",
            "country_code": "US",
            "telephone_number": "270-843-3376",
            "fax_number": "270-780-0481",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3333 Frederica St Ste 5",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423016085",
            "country_code": "US",
            "telephone_number": "270-297-9075",
            "fax_number": "270-297-9077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEMBERTON",
        "first_name": "LESLIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-30",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "TP698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Partners of Western Ky-Aprn
• Harry E Pedigo
• Kelsey Elizabeth Pedley, APRN
• Deborah T Peech, APRN
• Brandy Pelphrey, APRN
• Ethan Pendleton, BIS
• Brice A Pendley, RPH
• Jason Lynn Pendley, DMD
• Deandrea Rico Perkins, M.D.
• Jack Perkins III, DMD

• Physician Assistant in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.