Individual provider Active NPI

Madeline Ann Rebsamen, PA

  • Physician Assistant
  • Lexington, KY
National Provider Identifier
1043067846
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA3477 Issued in KY
Practice address
1000 S Limestone
Lexington, KY 40536-0001
Phone
(859) 323-5901
Fax
(859) 323-3040
NPI assigned
May 1, 2024
Last updated
Jan 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA3477 KY Primary
Medical Physician Assistant 363AM0700X PA3477 KY
Surgical Physician Assistant 363AS0400X PA3477 KY

Addresses

Primary practice location

1000 S Limestone
Lexington, KY 40536-0001

Mailing address

800 Rose St # M53
Lexington, KY 40536-3636
Phone (859) 323-5908

Other practice location 1

310 S Limestone Fl 1
Lexington, KY 40508-3008
Phone (859) 226-7070

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
I20241007003638 KY Practitioner - Physician Assistant 3173054764 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1509 Louisville Rd
Harrodsburg, KY 40330-8622
Phone (859) 734-5770

464 Linden Ave
Harrodsburg, KY 40330-1882
Phone (859) 734-5441

466 Linden Ave
Harrodsburg, KY 40330-1841

470 Linden Ave
Suite B
Harrodsburg, KY 40330-1871
Phone (859) 733-5890

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA3477KYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ephraim McDowell Health Resource, Inc Medical CurrentSince Dec 8, 2025 Accepting new patients
The James B. Haggin Memorial Hospital Inc CurrentSince Dec 8, 2025 Accepting new patients
Nick Dedman, MD and Associates, P.S.C. Current Accepting new patients
Ephraim McDowell Health Resource,Inc CurrentSince Dec 8, 2025 Accepting new patients
The James B. Haggin Memorial Hospital Inc Physician Assistant CurrentSince Dec 8, 2025 Accepting new patients
University of Kentucky CurrentSince Sep 12, 2024 Accepting new patients
Empact Midwest LLC Physician Assistant CurrentSince Oct 15, 2025 Accepting new patients

Locations

216 W Walnut St
Ste A
Danville, KY 40422
Phone (859) 239-5870

217 S 3rd St
Danville, KY 40422
Phone (859) 239-1000

1509 Louisville Rd
Harrodsburg, KY 40330
Phone (859) 236-7712

464 Linden Ave
Harrodsburg, KY 40330
Phone (859) 734-5441

466 Linden Ave
#A
Harrodsburg, KY 40330
Phone (859) 734-5173

1000 S Limestone
Lexington, KY 40506
Phone (859) 323-5901

1000 S Limestone
Fl First
Lexington, KY 40506
Phone (859) 323-4756

310 S Limestone
Fl 1
Lexington, KY 40508
Phone (859) 226-7070

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

800 Rose St
#M53
Lexington, KY 40536
Phone (859) 323-2300

110 Metker Trl
Stanford, KY 40484
Phone (606) 365-3360

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1043067846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ROSE ST # M53",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405363636",
            "telephone_number": "859-323-5908",
            "fax_number": "859-323-8056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S LIMESTONE",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360001",
            "telephone_number": "859-323-5901",
            "fax_number": "859-323-3040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 S Limestone Fl 1",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405083008",
            "country_code": "US",
            "telephone_number": "859-226-7070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REBSAMEN",
        "first_name": "MADELINE",
        "middle_name": "ANN",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-01",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA3477",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "PA3477",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "KY",
            "license": "PA3477",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.