Active NPI
Andrea Homer, FNP
- Family Nurse Practitioner
- Lexington, KY
National Provider Identifier
1104468164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3013901
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonwealth Pain Associates PLLC | Current | Accepting new patients | |
| Commonwealth Pain Associates, PLLC | Family | Current | Accepting new patients |
| Nelson County Schools | Past | 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.
-
- Durable Medical Equipment & Medical Supplies
- Paducah, KY
- NPI 1114753720
-
- Interventional Pain Medicine Physician
- Louisville, KY
- NPI 1306280177
Family
-
- Local Education Agency (LEA)
- Bardstown, KY
- NPI 1487792842
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.