Susan Combs, APRN-CP
Individual provider Active NPI Nurse Practitioner · Lexington, KY
NPI 1114747219 · NPPES record last updated Oct 14, 2024
Key facts
- NPI
- 1114747219
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 4028538 (KY)
- Practice address
- 1740 Nicholasville Rd
Lexington, KY 40503-1431 - Phone
- (859) 260-6100
- NPI assigned
- Oct 14, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Baptist Health Medical Group Inc
Practice addresses (Care Compare)
1740 Nicholasville Rd
Lexington, KY 40503-1499
Phone (859) 260-5100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251217004371 | KY | Practitioner - Nurse Practitioner | 5799270757 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4028538 | KY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Inc | Current |
Accepting new patients | |
| Baptist Health Medical Group Inc | Nurse Practitioner | Current |
Accepting new patients |
| Baptist Health Medical Group Inc | Nurse Practitioner | Past | Accepting new patients |
Locations
1700 Nicholasville Rd
Ste 1100
Lexington, KY 40503
Phone (859) 260-6856
1740 Nicholasville Rd
Lexington, KY 40503
Phone (859) 260-6100
4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390
1775 Alysheba Way
Ste 50
Lexington, KY 40509
Phone (859) 260-4530
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4028538 | KY | Yes |
Addresses
Primary practice location
1740 Nicholasville Rd
Lexington, KY 40503-1431
Mailing address
1740 Nicholasville Rd
Lexington, KY 40503-1431
Other providers in Lexington, KY
- Sandra Combs
- Savannah L. Combs
- Sheila Combs
- Stephanie Clark Combs
- Steven Lee Combs
- Susan Combs
- Traci L Combs
- Travis Combs
- Whitney Combs
- Hannah Ruth Comenzind
All providers in Lexington, KY · Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.