Individual provider Active NPI

Kirsten Lenore Babcock, PA-C

  • Physician Assistant
  • Edgewood, KY
National Provider Identifier
1295967461
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA1861 Issued in KY
Practice address
1 Medical Village Dr
Edgewood, KY 41017-3403
Phone
(859) 301-2160
NPI assigned
Aug 20, 2009
Last updated
Jun 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA1861 KY Primary
Physician Assistant 363A00000X 50-002983 OH

Addresses

Primary practice location

1 Medical Village Dr
Edgewood, KY 41017-3403

Mailing address

PO Box 932163
Cleveland, OH 44193-0008
Phone (610) 477-6147

Other practice location 1

500 E Business Way
Suite A
Cincinnati, OH 45241-2374
Phone (513) 354-3700

Other identifiers 2

IdentifierTypeStateIssuer
9061447OtherOHAETNA
000000634209OtherOHANTHEM

Other names 1

  • Miss Kirsten Lenore Babcock Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY, IN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20091105000191 OH Practitioner - Physician Assistant 9234277666 Reassigns benefits to 2 organizations
I20221109002629 KY Practitioner - Physician Assistant 9234277666 Reassigns benefits to 1 organization
I20230104002241 IN Practitioner - Physician Assistant 9234277666 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates of Northern Kentucky PLLCGroup PAC ID 3779480736, 56 clinicians

Practice addresses (Care Compare)

1 Medical Village Dr
Edgewood, KY 41017-3403
Phone (859) 301-2160

135 Courthouse Xing
Independence, KY 41051-2509
Phone (859) 301-0990

1640 Flossie Dr
Greendale, IN 47025-8424
Phone (812) 496-3285

238 Barnes Rd
Williamstown, KY 41097-9482
Phone (859) 824-8110

309 11TH St
Carrollton, KY 41008-1435
Phone (502) 732-3249

3910 Eagleedge CT
Independence, KY 41051-2509
Phone (859) 331-4369

4900 Houston Rd
Florence, KY 41042-4824
Phone (859) 212-5420

600 Medical Village Dr
Edgewood, KY 41017-3416
Phone 8772357686987

600 Wilson Creek Rd
Lawrenceburg, IN 47025-2751
Phone (800) 676-5572

85 N Grand Ave
Fort Thomas, KY 41075-1793
Phone (859) 572-3140

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA1861KYMDPhysician Assistant
50-002983OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tri State Urologic Services PSC Inc CurrentSince Aug 1, 2024 Accepting new patients
Tri State Urologic Services PSC Inc CurrentSince Aug 1, 2024 Accepting new patients
St Elizabeth Medical Center, Inc Past Accepting new patients
Tri State Urologic Services PSC Inc Past Accepting new patients

Locations

651 Centre View Blvd
Crestview Hills, KY 41017
Phone (859) 341-6660

85 N Grand Ave
Fort Thomas, KY 41075
Phone (859) 572-3100

330 Roland Ave
Owenton, KY 40359
Phone (502) 484-3663

238 Barnes Rd
Williamstown, KY 41097
Phone (859) 292-4000

4360 Ferguson Dr
Ste 100
Cincinnati, OH 45245
Phone (513) 841-7750

4746 Montgomery Rd
Cincinnati, OH 45212
Phone (513) 731-5600

4746 Montgomery Rd
Ste 201
Cincinnati, OH 45212
Phone (513) 731-2273

2000 Joseph E Sanker Blvd
Norwood, OH 45212
Phone (513) 841-7400

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1295967461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932163",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930008",
            "telephone_number": "610-477-6147",
            "fax_number": "302-440-5532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL VILLAGE DR",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410173403",
            "telephone_number": "859-301-2160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 E Business Way",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452412374",
            "country_code": "US",
            "telephone_number": "513-354-3700",
            "fax_number": "513-354-7651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BABCOCK",
        "first_name": "KIRSTEN",
        "middle_name": "LENORE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-20",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA1861",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50-002983",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9061447",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000634209",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIRSTEN",
            "last_name": "BABCOCK",
            "middle_name": "LENORE",
            "prefix": "MISS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Edgewood, KY

Sources for this page

Verify at the official NPI Registry.