Active NPI
Karalee Ann Mlack
- Acute Care Nurse Practitioner
- Lexington, KY
National Provider Identifier
1114531803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 3014780
- Practice address
- 740 South Limestone
K401
Lexington, KY 40536-0284 - Phone
- (859) 323-5533
- Fax
- (859) 323-2412
- NPI assigned
- Sep 1, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 3014780 | KY | Primary |
| Orthopaedic Trauma Physician | 207XX0801X | 3014780 | KY |
Addresses
Primary practice location
740 South Limestone
K401
Lexington, KY 40536-0284
Mailing address
740 South Limestone K401
Lexington, KY 40536-0284
Phone (859) 323-5533
Other practice location 1
432 Sara Leigh Dr Apt 2
Richmond, KY 40475-2648
Phone (859) 536-1244
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
740 S Limestone
Lexington, KY 40536-0284
Phone (859) 323-1345
Hospital & facility affiliations
- University of Kentucky Hospital
- Ephraim McDowell Regional Medical Center
- Baptist Health Richmond
- Baptist Health Lexington
- Clark Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.76 of 100
- Quality
- 78.19
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.17
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3014780 | KY | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Kentucky | Single Specialty | Current | Accepting new patients |
| Kentucky Medical Services Foundation, Inc | Single Specialty | Past | Accepting new patients |
Locations
800 Rose St
Lexington, KY 40536
Phone (859) 257-8562
Interoperability endpoints
- kmlack17860@ukhcdirect.org
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Lexington, KY
- NPI 1326091448
Single Specialty
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lexington, KY
- NPI 1538244918
-
- General Acute Care Hospital
- Richmond, KY
- NPI 1568452290
-
- Rehabilitation Hospital Unit
- Danville, KY
- NPI 1639360472
-
- General Acute Care Hospital
- Danville, KY
- NPI 1821135963
-
- General Acute Care Hospital
- Winchester, KY
- NPI 1811213994
-
- General Acute Care Hospital
- Lexington, KY
- NPI 1518911338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620777600000",
"number": "1114531803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "740 SOUTH LIMESTONE K401",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405360284",
"telephone_number": "859-323-5533",
"fax_number": "859-323-2412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 SOUTH LIMESTONE",
"address_2": "K401",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405360284",
"telephone_number": "859-323-5533",
"fax_number": "859-323-2412"
}
],
"practiceLocations": [
{
"address_1": "432 Sara Leigh Dr Apt 2",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "KY",
"postal_code": "404752648",
"country_code": "US",
"telephone_number": "859-536-1244",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MLACK",
"first_name": "KARALEE",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-01",
"last_updated": "2021-05-12",
"certification_date": "2021-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "KY",
"license": "3014780",
"primary": true
},
{
"code": "207XX0801X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Orthopaedic Trauma",
"state": "KY",
"license": "3014780",
"primary": false
}
],
"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 May 12, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.