Individual provider Active NPI

Cora E Mikesell, PA-C

  • Physician Assistant
  • Frankfort, KY
National Provider Identifier
1063967495
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2122 Issued in KY
Practice address
299 Kings Daughters Dr
Frankfort, KY 40601-6514
Phone
(502) 875-5240
NPI assigned
Aug 15, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10003111A IN
Physician Assistant 363A00000X PA2122 KY Primary

Addresses

Primary practice location

299 Kings Daughters Dr
Frankfort, KY 40601-6514

Mailing address

299 Kings Daughters Dr
Frankfort, KY 40601-6514

Other identifiers 2

IdentifierTypeStateIssuer
300044886MedicaidIN
7100437470MedicaidKY

Other names 1

  • Cora Chamberlain Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160913000494 KY Practitioner - Physician Assistant 7517253867 Reassigns benefits to 3 organizations
I20201125001230 IN Practitioner - Physician Assistant 7517253867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.13 of 100Reported as group
Quality
89.38
Improvement activities
40
Cost
79.98

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10003111AINMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Nov 21, 2025 Accepting new patients
Baptist Health Medical Group Inc Physician Assistant Current Accepting new patients
Baptist Health Medical Group, Inc. Physician Assistant CurrentSince Nov 21, 2025 Accepting new patients

Locations

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

1025 New Moody Ln
Lagrange, KY 40031
Phone (502) 222-3335

7702 Bardstown Rd
Louisville, KY 40291
Phone (502) 925-4100

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1063967495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 KINGS DAUGHTERS DR",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406016514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 KINGS DAUGHTERS DR",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406016514",
            "telephone_number": "502-875-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKESELL",
        "first_name": "CORA",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-15",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10003111A",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA2122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300044886",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100437470",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORA",
            "last_name": "CHAMBERLAIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Frankfort, KY

Sources for this page

Verify at the official NPI Registry.