Individual provider Active NPI

Whitney Elizabeth Bauer, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1063022465
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3014838 Issued in KY
Practice address
2195 Harrodsburg Rd Ste 125
Lexington, KY 40504-3543
Phone
(859) 323-6371
Fax
(859) 257-3585
NPI assigned
Jul 31, 2020
Last updated
Apr 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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 3014838 KY Primary

Addresses

Primary practice location

2195 Harrodsburg Rd Ste 125
Lexington, KY 40504-3543

Mailing address

112 Mallory LN
Georgetown, KY 40324-1282

Other practice location 1

112 Mallory Ln
Georgetown, KY 40324-1282
Phone (606) 521-6303

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
I20200821002619 KY Practitioner - Nurse Practitioner 9133545080 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Kentucky, PLLCGroup PAC ID 0143525998, 213 clinicians
Brock Medical, LLCGroup PAC ID 9830354638, 93 clinicians

Practice addresses (Care Compare)

1000 W Park Dr
Lawrenceburg, KY 40342-8074
Phone (502) 353-3417

110 W John Rowan Blvd
Bardstown, KY 40004-2663
Phone (502) 337-7409

15100 N US Hwy 25E
Suite 1
Corbin, KY 40701-6449
Phone (606) 261-2054

1649 Hwy 192 W
London, KY 40741-1674
Phone (606) 330-0055

2520 S Hwy 27
Somerset, KY 42501-3055
Phone (606) 416-5719

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brock Medical, LLC CurrentSince Aug 5, 2020 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Fast Pace Kentucky PLLC Family CurrentSince Sep 1, 2023 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Fast Pace Kentucky PLLC CurrentSince Aug 5, 2020 Accepting new patients
Signify Health, LLC CurrentSince Aug 12, 2024 Accepting new patients
University of Kentucky CurrentSince Mar 28, 2023 Accepting new patients
Fast Pace Kentucky, PLLC CurrentSince Sep 1, 2023 Accepting new patients
Fast Pace Kentucky, PLLC Past Accepting new patients

Locations

110 W John Rowan Blvd
Bardstown, KY 40004
Phone (502) 337-7409

110 S 2nd St
Central City, KY 42330
Phone (270) 931-2059

1475 Nashville Rd
Franklin, KY 42134
Phone (270) 813-1111

1000 W Park Dr
Lawrenceburg, KY 40342
Phone (502) 353-3417

2195 Harrodsburg Rd
Lexington, KY 40504
Phone (859) 323-2232

2195 Harrodsburg Rd
Ste 125
Lexington, KY 40504
Phone (859) 257-4732

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

1649 Highway 192 W
London, KY 40741
Phone (606) 330-0055

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

115 Tradepark Dr
Ste A
Somerset, KY 42503
Phone (606) 678-5708

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

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": "1596153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1063022465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 MALLORY LN",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403241282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2195 HARRODSBURG RD STE 125",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043543",
            "telephone_number": "859-323-6371",
            "fax_number": "859-257-3585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 Mallory Ln",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "KY",
            "postal_code": "403241282",
            "country_code": "US",
            "telephone_number": "606-521-6303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUER",
        "first_name": "WHITNEY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-31",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3014838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.