Individual provider Active NPI

Andrea Homer, FNP

  • Family Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1104468164
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3013901 Issued in KY
Practice address
101 W Loudon Ave
Lexington, KY 40508-1502
Phone
(859) 328-2183
NPI assigned
Oct 11, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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 3013901 KY Primary

Addresses

Primary practice location

101 W Loudon Ave
Lexington, KY 40508-1502

Mailing address

258 Patriot TRL
Berea, KY 40403-9101
Phone (859) 328-2183

Other practice location 1

496 Southland Dr
Lexington, KY 40503-1827
Phone (859) 288-2425

Other practice location 2

350 N Limestone
Lexington, KY 40508-1871
Phone (859) 288-2425

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Pain Associates PLLC CurrentSince Jun 1, 2020 Accepting new patients
Commonwealth Pain Associates, PLLC Family CurrentSince Jun 1, 2020 Accepting new patients
Nelson County Schools PastSince Aug 1, 2021 Accepting new patients

Locations

120 Executive Park
St Matthews, KY 40207
Phone (502) 409-9925

Organizations & group practices 3

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": "1570752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1104468164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 PATRIOT TRL",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404039101",
            "telephone_number": "859-328-2183",
            "fax_number": "859-972-0421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W LOUDON AVE",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405081502",
            "telephone_number": "859-328-2183"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "496 Southland Dr",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405031827",
            "country_code": "US",
            "telephone_number": "859-288-2425",
            "fax_number": "859-288-7510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 N Limestone",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405081871",
            "country_code": "US",
            "telephone_number": "859-288-2425",
            "fax_number": "859-288-7510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOMER",
        "first_name": "ANDREA",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-11",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3013901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.