Individual provider Active NPI

Delaney Paige Vasquez, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Somerset, KY
National Provider Identifier
1245803634
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2826 Issued in KY
Practice address
401 Bogle St Ste 101
Somerset, KY 42503-2849
Phone
(606) 676-0275
NPI assigned
Jul 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA2826 KY Primary

Addresses

Primary practice location

401 Bogle St Ste 101
Somerset, KY 42503-2849

Mailing address

401 Bogle St Ste 101
Somerset, KY 42503-2849
Phone (606) 676-0275

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
I20211018001894 KY Practitioner - Physician Assistant 3173921434 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Cumberland Physician Practices LLCGroup PAC ID 2567510464, 47 clinicians

Practice addresses (Care Compare)

103 Hardin LN
Suite a
Somerset, KY 42503-3814
Phone (606) 677-0062

30 Tower Cir
Somerset, KY 42503-3476
Phone (606) 451-8644

301 Langdon St
Somerset, KY 42503-2750
Phone (606) 678-9688

305 Langdon St
Somerset, KY 42503-2750
Phone (606) 676-0206

56 Tower Cir
Somerset, KY 42503-3476
Phone (606) 677-2913

Hospital & facility affiliations

  • Lake Cumberland Regional Hospital Hospital, Somerset, KY, CCN 180132

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA2826KYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Cumberland Physician Practices LLC Physician Assistant CurrentSince Jan 1, 2024 Accepting new patients
Lake Cumberland Physician Practices LLC Physician Assistant CurrentSince Jan 1, 2024 Accepting new patients
Atlas Pain and Spine PLLC Physician Assistant CurrentSince Oct 1, 2021 Accepting new patients
Atlas Pain and Spine PLLC CurrentSince Oct 1, 2021 Accepting new patients
Lake Cumberland Physician Practices, LLC Physician Assistant Past Accepting new patients

Locations

21025 N 8th Way
Ste 110
Phoenix, AZ 85024

1040 Cumberland Falls Hwy
#B
Corbin, KY 40701
Phone (606) 280-7875

1498 W Cumberland Gap Pkwy
Corbin, KY 40701
Phone (606) 280-7578

920 Barnes Mill Rd
Ste A
Richmond, KY 40475
Phone (859) 544-1068

401 Bogle St
Ste 101
Somerset, KY 42503
Phone (606) 676-0275

30 Tower Cir
Somerset, KY 42503
Phone (606) 451-8644

Interoperability endpoints

  • Direct secure messaging: delaney.vasquez.1@21269.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1245803634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 BOGLE ST STE 101",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032849",
            "telephone_number": "606-676-0275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 BOGLE ST STE 101",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032849",
            "telephone_number": "606-676-0275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "DELANEY",
        "middle_name": "PAIGE",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-22",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA2826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

Verify at the official NPI Registry.