Individual provider Active NPI

Vedrana Knezevic, PA-C

  • Physician Assistant
  • Lexington, KY
National Provider Identifier
1053789750
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2035 Issued in KY
Practice address
3000 Baptist Health Blvd Ste 340
Lexington, KY 40509-8742
Phone
(859) 639-0920
Fax
(859) 639-0921
NPI assigned
Sep 11, 2015
Last updated
Apr 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA2035 KY Primary

Addresses

Primary practice location

3000 Baptist Health Blvd Ste 340
Lexington, KY 40509-8742

Mailing address

3000 Baptist Health Blvd Ste 340
Lexington, KY 40509-8742
Phone (859) 639-0920

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vknezevic29405@bhkydirect.com

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
I20151005002774 KY Practitioner - Physician Assistant 3173831575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Kentucky College of Medicine, 2015
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)

3000 Baptist Health Blvd
Lexington, KY 40509-8742

4071 Tates Creek Centre Dr
Suite 202
Lexington, KY 40517-3094
Phone (859) 260-4390

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
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Nov 13, 2017 Accepting new patients
Baptist Health Medical Group Inc Physician Assistant CurrentSince Nov 13, 2017 Accepting new patients

Locations

3084 Lakecrest Cir
Lexington, KY 40513
Phone (859) 219-6440

3084 Lakecrest Cir
Ste 100
Lexington, KY 40513
Phone (859) 219-6440

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

Organizations & group practices 2

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 2

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": "1441929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1053789750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 BAPTIST HEALTH BLVD STE 340",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405098742",
            "telephone_number": "859-639-0920",
            "fax_number": "859-639-0921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 BAPTIST HEALTH BLVD STE 340",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405098742",
            "telephone_number": "859-639-0920",
            "fax_number": "859-639-0921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNEZEVIC",
        "first_name": "VEDRANA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-11",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA2035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vknezevic29405@bhkydirect.com",
            "affiliation": "N",
            "address_1": "3084 Lakecrest Cir",
            "city": "Lexington",
            "state": "KY",
            "country_code": "US",
            "postal_code": "405131974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.