Individual provider Active NPI

Rebecca Ward Hogsten, PA-C

  • Medical Physician Assistant
  • Lexington, KY
National Provider Identifier
1134237340
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA285 Issued in KY
Practice address
4071 Tates Creek Centre Dr Ste 100
Lexington, KY 40517-3062
Phone
(859) 273-3888
NPI assigned
Aug 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA285 KY Primary

Addresses

Primary practice location

4071 Tates Creek Centre Dr Ste 100
Lexington, KY 40517-3062

Mailing address

5200 Commerce Crossings Dr FL 3
Louisville, KY 40229-2182
Phone (502) 253-4900

Other practice location 1

400 E College St
Georgetown, KY 40324-1628
Phone (502) 863-8201

Other identifiers 1

IdentifierTypeStateIssuer
95000097MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rhogsten7215@bhkydirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA285KYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Dermatology and Skin Cancer Clinic, PSC Past Accepting new patients

Organizations & group practices 1

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": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1134237340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 COMMERCE CROSSINGS DR FL 3",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402292182",
            "telephone_number": "502-253-4900",
            "fax_number": "502-489-5751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4071 TATES CREEK CENTRE DR STE 100",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405173062",
            "telephone_number": "859-273-3888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 E College St",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "KY",
            "postal_code": "403241628",
            "country_code": "US",
            "telephone_number": "502-863-8201",
            "fax_number": "502-868-7725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOGSTEN",
        "first_name": "REBECCA",
        "middle_name": "WARD",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-28",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "PA285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95000097",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rhogsten7215@bhkydirect.com",
            "affiliation": "N",
            "address_1": "4071 Tates Creek Centre Dr Ste 100",
            "city": "Lexington",
            "state": "KY",
            "country_code": "US",
            "postal_code": "405173062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Dec 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.