Katherine Bollinger, PA-C
Individual provider Active NPI Physician Assistant · Versailles, KY
NPI 1164043352 · NPPES record last updated Aug 11, 2026
Key facts
- NPI
- 1164043352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA2964 (KY)
- Practice address
- 117 Crossfield Dr Ste B
Versailles, KY 40383-1844 - Phone
- (859) 873-9188
- Fax
- (859) 873-0870
- NPI assigned
- Apr 29, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Proactive Therapy, Inc
New Lexington Clinic PSC
Practice addresses (Care Compare)
1004 Leawood Dr
Frankfort, KY 40601-3349
Phone (502) 223-7403
115 Crossfield Dr
Versailles, KY 40383-1845
Phone (859) 873-9843
1207 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-4000
1221 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-4000
1225 S Broadway
Suite 201
Lexington, KY 40504-2701
Phone (859) 258-4568
Hospital & facility affiliations
- Bluegrass Community Hospital
- Saint Joseph East
- Baptist Health Lexington
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 |
|---|---|---|---|---|
| I20220921000924 | KY | Practitioner - Physician Assistant | 8426442989 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021003257 | MO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Lexington Clinic, PSC | Current |
Accepting new patients | |
| New Lexington Clinic PSC | Current |
Accepting new patients |
Locations
1221 S Broadway
Lexington, KY 40504
Phone (859) 258-4181
117 Crossfield Dr
Ste B
Versailles, KY 40383
Phone (859) 258-4950
115 Crossfield Dr
Ste A
Versailles, KY 40383
Phone (859) 278-9413
Interoperability endpoints
- katherine.bollinger.1@13059.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA2964 | KY | Yes |
Addresses
Primary practice location
117 Crossfield Dr Ste B
Versailles, KY 40383-1844
Mailing address
1221 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-6200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100842050 | Medicaid | KY |
Other providers in Versailles, KY
- Simon Peter Bitz
- Aryn Michaele Blake
- Bluegrass Behavioral Health Services LLC
- Bluegrass Partners in Health, PSC
- Morgan Brooke Boian
- Kimberly Jewell Bostic
- Connie Boyce
- Danielle Brandt
- Imelda Ninnette Bratton
- Jonathan E Britton
All providers in Versailles, KY · Physician Assistant in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2026. 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.