Traci V Atkins, ARNP
Individual provider Active NPI Nurse Practitioner · Lexington, KY
NPI 1235274663 · NPPES record last updated Oct 3, 2024
Key facts
- NPI
- 1235274663
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 3003688 (KY)
- Practice address
- 2424 Harrodsburg Rd Ste 200
Lexington, KY 40503-2112 - Phone
- (859) 278-9492
- Fax
- (859) 277-3027
- NPI assigned
- Feb 21, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Forefront Dermatology SC
Practice addresses (Care Compare)
2405 Harrodsburg Rd
Lexington, KY 40504-3329
Phone (859) 278-9792
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.45 of 100
- Promoting interoperability
- 97
- Improvement activities
- 40
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 |
|---|---|---|---|---|
| I20080505000603 | KY | Practitioner - Nurse Practitioner | 1153400924 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forefront Dermatology, S.C. | Current | Accepting new patients | |
| Forefront Dermatology, S.C. | Current |
Accepting new patients | |
| Forefront Dermatology, S.C. | Current |
Accepting new patients | |
| Forefront Dermatology, S.C. | Past | Accepting new patients |
Locations
2405 Harrodsburg Rd
Lexington, KY 40504
Phone (859) 278-9492
501 S 2nd St
Louisville, KY 40202
Phone (502) 583-7546
316 Spangler Dr
Richmond, KY 40475
Phone (859) 623-4241
801 York St
Manitowoc, WI 54220
Phone (866) 630-9882
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 3003688 | KY | Yes |
Addresses
Primary practice location
2424 Harrodsburg Rd Ste 200
Lexington, KY 40503-2112
Mailing address
801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008
Other practice location 1
316 Spangler Dr
Richmond, KY 40475-2351
Phone (859) 623-4241
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 78009396 | Medicaid | KY |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tatkins@directaddress.net |
Other providers in Lexington, KY
- David C Atkins
- Devan Eugene Atkins
- Hannah S. Atkins
- Kyla Atkins
- Lori Atkins
- Attender Care LLC
- Suzanna Attia
- Jennifer Attkisson
- Chelsea Ann Atwater
- Robin Leigh Atwell
All providers in Lexington, KY · Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2024. 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.