Individual provider Active NPI

Melissa R Walters, APRN

  • Family Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1275904021
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3009795 Issued in KY
Practice address
245 Fountain CT FL 1
Lexington, KY 40509-2792
Phone
(859) 218-2626
Fax
(859) 257-3322
NPI assigned
Oct 19, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3009795 KY
Family Nurse Practitioner 363LF0000X 3009795 KY Primary

Addresses

Primary practice location

245 Fountain CT FL 1
Lexington, KY 40509-2792

Mailing address

732 Highway 36
Frenchburg, KY 40322-8123
Phone (606) 768-2191

Other practice location 1

Uk Division Of General Intenal Medicine
830 South Limestone
Lexington, KY 40536-0001
Phone (859) 323-0303

Other practice location 2

732 Highway 36
Frenchburg, KY 40322
Phone (606) 768-2191

Other identifiers 3

IdentifierTypeStateIssuer
K197590OtherKYMEDICARE
7100386170MedicaidKY
3009795OtherKYMEDICAL LICENSE

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
I20160404002276 KY Practitioner - Nurse Practitioner 6709183833 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of KentuckyGroup PAC ID 3072425289, 778 clinicians

Practice addresses (Care Compare)

245 Fountain Court
Lexington, KY 40509
Phone (859) 323-6021

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.76 of 100Reported as group
Quality
78.19
Promoting interoperability
100
Improvement activities
40
Cost
70.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3009795KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Kentucky, PLLC CurrentSince Oct 1, 2019 Accepting new patients
Fast Pace Kentucky PLLC Family CurrentSince Oct 1, 2019 Accepting new patients
University of Kentucky PastSince Aug 28, 2022 Accepting new patients
Kentucky Medical Services Foundation, Inc PastSince Aug 28, 2022 Accepting new patients
St. Claire Medical Center Inc. Past Accepting new patients
St. Claire Medical Center, Inc Past Accepting new patients

Locations

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

420 Martin Luther King Hwy
Maysville, KY 41056
Phone (606) 375-4817

145 Brookeway Dr
Mt Washington, KY 40047
Phone (502) 538-2430

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 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": "1445212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1275904021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 HIGHWAY 36",
            "city": "FRENCHBURG",
            "state": "KY",
            "postal_code": "403228123",
            "telephone_number": "606-768-2191",
            "fax_number": "606-768-6130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 FOUNTAIN CT FL 1",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092792",
            "telephone_number": "859-218-2626",
            "fax_number": "859-257-3322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Uk Division Of General Intenal Medicine",
            "address_2": "830 South Limestone",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405360001",
            "country_code": "US",
            "telephone_number": "859-323-0303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "732 Highway 36",
            "address_purpose": "LOCATION",
            "city": "Frenchburg",
            "state": "KY",
            "postal_code": "40322",
            "country_code": "US",
            "telephone_number": "606-768-2191",
            "fax_number": "606-768-6130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "MELISSA",
        "middle_name": "R",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-19",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3009795",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3009795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "K197590",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100386170",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "3009795",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.