Individual provider Active NPI

Elizabeth Ivy Wright, APRN

  • Family Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1194128462
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3008993 Issued in KY
Practice address
3576 Pimlico Pkwy
Lexington, KY 40517-3700
Phone
(859) 272-0608
NPI assigned
Oct 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3008993 KY Primary

Addresses

Primary practice location

3576 Pimlico Pkwy
Lexington, KY 40517-3700

Mailing address

5661 US Highway 62 W
Cynthiana, KY 41031-8046
Phone (859) 492-2191

Other identifiers 2

IdentifierTypeStateIssuer
12750267OtherCAQH
7100331380MedicaidKY

Other names 1

  • Elizabeth Ivy Deese Former name

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
I20141210001223 KY Practitioner - Nurse Practitioner 7517289192 Reassigns benefits to 5 organizations
Practice locations: Cynthiana, KY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Kentucky, PLLC CurrentSince May 1, 2024 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 15, 2025 Accepting new patients
Fast Pace Kentucky PLLC Family CurrentSince May 1, 2024 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 15, 2025 Accepting new patients
Brock Medical, LLC CurrentSince May 1, 2024 Accepting new patients
Fast Pace Kentucky PLLC CurrentSince May 1, 2024 Accepting new patients
Wright Family Healthcare PLLC Family CurrentSince Jun 15, 2025 Accepting new patients
Fast Pace Kentucky, PLLC Past Accepting new patients

Locations

1095 Morton Ave
Bardstown, KY 40004
Phone (502) 601-0107

796 W Broadway St
Campbellsville, KY 42718
Phone (270) 572-4933

1475 Nashville Rd
Franklin, KY 42134
Phone (270) 813-1111

805 S Lincoln Blvd
Hodgenville, KY 42748

1649 Highway 192 W
London, KY 40741
Phone (606) 330-0055

115 Tradepark Dr
Ste A
Somerset, KY 42503
Phone (606) 678-5708

480 Bullion Blvd
#B
Winchester, KY 40391
Phone (859) 385-4222

Organizations & group practices 9

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": "1412121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1194128462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5661 US HIGHWAY 62 W",
            "city": "CYNTHIANA",
            "state": "KY",
            "postal_code": "410318046",
            "telephone_number": "859-492-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3576 PIMLICO PKWY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405173700",
            "telephone_number": "859-272-0608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "ELIZABETH",
        "middle_name": "IVY",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-01",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3008993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12750267",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100331380",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "DEESE",
            "middle_name": "IVY",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.