Individual provider Active NPI

Lindsey Paige Wilferd, PA-C

  • Physician Assistant
  • Murray, KY
National Provider Identifier
1073255972
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
111 Poplar St Ste 104
Murray, KY 42071-2577
Phone
(270) 534-5128
NPI assigned
Apr 11, 2022
Last updated
Sep 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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 NU Primary

Addresses

Primary practice location

111 Poplar St Ste 104
Murray, KY 42071-2577

Mailing address

111 Poplar St Ste 104
Murray, KY 42071-2577
Phone (270) 534-5128

Other practice location 1

1019 Paducah Rd Ste C
Mayfield, KY 42066-3616
Phone (270) 534-5128

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
I20240829003329 KY Practitioner - Physician Assistant 4981143211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Emerald Therapy Center LLCGroup PAC ID 6103241211, 16 clinicians

Practice addresses (Care Compare)

111 Poplar St
Suite 104
Murray, KY 42071-2577
Phone (270) 534-5128

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emerald Therapy Center, LLC CurrentSince Jun 6, 2022 Accepting new patients

Locations

1019 Paducah Rd
Ste C
Mayfield, KY 42066
Phone (270) 534-5128

111 Poplar St
Ste 104
Murray, KY 42071
Phone (270) 534-5128

1640 McCracken Blvd
Ste 200
Paducah, KY 42001
Phone (270) 534-5128

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 1

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": "1649635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1073255972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 POPLAR ST STE 104",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420712577",
            "telephone_number": "270-534-5128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 POPLAR ST STE 104",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420712577",
            "telephone_number": "270-534-5128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1019 Paducah Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Mayfield",
            "state": "KY",
            "postal_code": "420663616",
            "country_code": "US",
            "telephone_number": "270-534-5128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILFERD",
        "first_name": "LINDSEY",
        "middle_name": "PAIGE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-11",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, KY

Sources for this page

Verify at the official NPI Registry.