Individual provider Active NPI

Lena Ann Nickell, ARNP

  • Family Nurse Practitioner
  • Frankfort, KY
National Provider Identifier
1033440375
Registry record updated Aug 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6306P Issued in KY
Practice address
624 Chamberlin Ave
Frankfort, KY 40601-4220
Phone
(502) 227-2285
Fax
(502) 227-1465
NPI assigned
Jan 27, 2010
Last updated
Aug 31, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 6306P KY Primary

Addresses

Primary practice location

624 Chamberlin Ave
Frankfort, KY 40601-4220

Mailing address

460 Wilson Ave
FL 1
Versailles, KY 40383-1947
Phone (859) 879-0111

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100828000211 KY Practitioner - Nurse Practitioner 0547396145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Versailles Family Medicine, PLLCGroup PAC ID 2668576927, 8 clinicians

Practice addresses (Care Compare)

460 Wilson Ave
Versailles, KY 40383-1947
Phone (859) 879-0111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
6306PKYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Versailles Family Medicine, PLLC Family CurrentSince Nov 27, 2016 Accepting new patients
Lexington Primary Care LLC Family PastSince Jan 5, 2004 Accepting new patients
Madison Primary Care, LLC Family Past Accepting new patients
Associates in Cardiology, LLC Past Accepting new patients
Horizon Healthcare Center LLC PastSince Mar 17, 2019 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FHBDAA
  • Direct secure messaging: lena.nickell@vfmky.eclinicaldirectplus.com

Organizations & group practices 5

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

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535673600000",
    "number": "1033440375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 WILSON AVE",
            "address_2": "FL 1",
            "city": "VERSAILLES",
            "state": "KY",
            "postal_code": "403831947",
            "telephone_number": "859-879-0111",
            "fax_number": "859-879-0363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 CHAMBERLIN AVE",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406014220",
            "telephone_number": "502-227-2285",
            "fax_number": "502-227-1465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKELL",
        "first_name": "LENA",
        "middle_name": "ANN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-27",
        "last_updated": "2018-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "6306P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, KY

Sources for this page

Verify at the official NPI Registry.