Individual provider Active NPI

Suzanne Kelly Yount, PA

  • Medical Physician Assistant
  • Lily, KY
National Provider Identifier
1164534152
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA180 Issued in KY
Practice address
U.S. Hwy 25 South
U.S. Hwy 25 South
Lily, KY 40740
Phone
(606) 523-1660
Fax
(606) 523-1665
NPI assigned
Aug 31, 2006
Last updated
Nov 29, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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 PA180 KY Primary

Addresses

Primary practice location

U.S. Hwy 25 South
U.S. Hwy 25 South
Lily, KY 40740

Mailing address

U.S. Hwy 25 South
PO Box 750
Lily, KY 40740
Phone (606) 523-1660

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070716000194 KY Practitioner - Physician Assistant 2961502299 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Kentucky College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2659 N Laurel Rd
P.O. Box 495
East Bernstadt, KY 40729

PO Box
Suite 495
East Bernstadt, KY 40729-0495

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA180KYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
East Bernstadt Medical Clinic PLLC Medical Current Accepting new patients
East Bernstadt Medical Clinic PLLC CurrentSince Feb 13, 2025 Accepting new patients
East Bernstadt Medical Clinic PLLC Medical Past Accepting new patients
The Medical Specialists of Ky, PSC Past Accepting new patients
Anand PSC Past Accepting new patients
East Bernstadt Medical Clinic Past Accepting new patients

Locations

11901 N Highway 421
Manchester, KY 40962
Phone (606) 598-2706

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196294400000",
    "number": "1164534152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "U.S. HWY 25 SOUTH",
            "address_2": "PO BOX 750",
            "city": "LILY",
            "state": "KY",
            "postal_code": "40740",
            "telephone_number": "606-523-1660",
            "fax_number": "606-523-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "U.S. HWY 25 SOUTH",
            "address_2": "U.S. HWY 25 SOUTH",
            "city": "LILY",
            "state": "KY",
            "postal_code": "40740",
            "telephone_number": "606-523-1660",
            "fax_number": "606-523-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNT",
        "first_name": "SUZANNE",
        "middle_name": "KELLY",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "PA180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lily, KY

Sources for this page

Verify at the official NPI Registry.