Individual provider Active NPI

Lisa Carole Primm, ARNP

  • Family Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1053507798
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1099062 Issued in KY
Practice address
828 Lane Allen Rd Ste 219
Lexington, KY 40504
Phone
(502) 498-4071
Fax
(888) 423-5216
NPI assigned
Sep 17, 2007
Reactivated
Aug 25, 2010
Last updated
Jul 24, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5409P KY
Family Nurse Practitioner 363LF0000X 1099062 KY Primary
Family Health Clinical Nurse Specialist 364SF0001X 3005409 KY

Addresses

Primary practice location

828 Lane Allen Rd Ste 219
Lexington, KY 40504

Mailing address

PO Box 3299
Carson City, NV 89702-3299
Phone (775) 240-6758

Other identifiers 2

IdentifierTypeStateIssuer
50029934OtherKYPASSPORT HEALTH PLAN
7100050650MedicaidIN

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
I20071227000594 KY Practitioner - Nurse Practitioner 4183704414 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

870 Taylorsville Rd
Taylorsville, KY 40071-9772
Phone (502) 477-8888

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1099062KYMDFamily Nurse Practitioner
5409PKYMDPsychiatric/Mental Health Nurse Practitioner
3005409KYMDFamily Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Hendren and Lockett PLLC CurrentSince Jul 1, 2017 Accepting new patients
Gim of Kentucky PLLC Family CurrentSince Aug 1, 2016 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Oct 1, 2020 Accepting new patients
Alignmed Partners, PC CurrentSince Jan 1, 2018 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Oct 1, 2020 Accepting new patients
University of Louisville Physicians, Inc. Past Accepting new patients

Locations

708 Bartley Ave
Bardstown, KY 40004
Phone (502) 348-9260

96 Future Dr
Corbin, KY 40701

1101 Woodland Dr
Elizabethtown, KY 42701
Phone (270) 765-6106

1040 US Highway 127 S
Frankfort, KY 40601
Phone (502) 229-1425

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

4604 Lowe Rd
Louisville, KY 40220
Phone (502) 403-1620

905 Highway 127 N
Owenton, KY 40359
Phone (502) 484-0661

Interoperability endpoints

  • Direct secure messaging: lprimm32470@bhkydirect.com

Organizations & group practices 6

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 5

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": "1189987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1053507798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3299",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897023299",
            "telephone_number": "775-240-6758",
            "fax_number": "888-700-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 LANE ALLEN RD STE 219",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40504",
            "telephone_number": "502-498-4071",
            "fax_number": "888-423-5216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIMM",
        "first_name": "LISA",
        "middle_name": "CAROLE",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-17",
        "last_updated": "2018-07-24",
        "deactivation_date": "2010-06-18",
        "reactivation_date": "2010-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "5409P",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "1099062",
            "primary": true
        },
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "KY",
            "license": "3005409",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT HEALTH PLAN",
            "identifier": "50029934",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100050650",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.