NPIMap

Individual provider Active NPI

Wanda V Harrison, MD

  • Family Medicine Physician
  • Lexington, KY
National Provider Identifier
1124165972
Registry record updated Dec 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
41917 Issued in KY
Practice address
1451 Harrodsburg Rd
Suite D-502
Lexington, KY 40504-3758
Phone
(859) 277-8560
Fax
(859) 277-8866
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 41917 KY Primary

Addresses

Primary practice location

1451 Harrodsburg Rd
Suite D-502
Lexington, KY 40504-3758

Mailing address

1451 Harrodsburg Rd
Suite D-502
Lexington, KY 40504-3758
Phone (859) 277-8560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090113000171 KY Practitioner - Family Practice 1658434907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Missouri, Kansas City, School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians
Kentucky Orthopedic Rehabilitation LLCGroup PAC ID 0345157293, shared by 15 NPIs, 68 clinicians

Practice addresses (Care Compare)

2040 Harrodsburg Rd
Suite 100
Lexington, KY 40503-1703
Phone (859) 899-7990

235 Boggs LN
Suite 9
Richmond, KY 40475-3325
Phone (859) 972-8630

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
41917KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince May 1, 2016 Accepting new patients
Baptist Health Medical Group Inc CurrentSince May 1, 2016 Accepting new patients
North Lexington Urgent Treatment Associates PSC Family Medicine Past Accepting new patients

Locations

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

2040 Harrodsburg Rd
Ste 100
Lexington, KY 40503
Phone (859) 899-7990

Interoperability endpoints

  • Direct secure messaging: wharrison19634@bhkydirect.com

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.

Hospital & facility affiliations 6

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": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386547200000",
    "number": "1124165972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 HARRODSBURG RD",
            "address_2": "SUITE D-502",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043758",
            "telephone_number": "859-277-8560",
            "fax_number": "859-277-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 HARRODSBURG RD",
            "address_2": "SUITE D-502",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043758",
            "telephone_number": "859-277-8560",
            "fax_number": "859-277-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "WANDA",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2013-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "41917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.