Brandi Lenay Botkin, APRN
Individual provider Active NPI Family Nurse Practitioner · Lexington, KY
NPI 1366934853 · NPPES record last updated Nov 10, 2023
Key facts
- NPI
- 1366934853
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 3012247 (KY)
- Practice address
- 3470 Blazer Pkwy Ste 200
Lexington, KY 40509-1887 - Phone
- (859) 277-3737
- Fax
- (859) 277-3765
- NPI assigned
- May 31, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 21
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University of Kentucky
Practice addresses (Care Compare)
800 Rose St
Lexington, KY 40536-7001
Phone (859) 257-1000
Hospital & facility affiliations
- University of Kentucky Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.76 of 100
- Quality
- 78.19
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.17
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 |
|---|---|---|---|---|
| I20180725003233 | KY | Practitioner - Nurse Practitioner | 9436406154 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3012247 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brock Medical, LLC | Current |
Accepting new patients | |
| Bluegrass Renal Care, PSC | Current |
Accepting new patients | |
| University of Kentucky | Current |
Accepting new patients | |
| Bluegrass Renal Care, PSC | Current |
Accepting new patients | |
| Fast Pace Kentucky PLLC | Current |
Accepting new patients | |
| University of Kentucky | Past | Accepting new patients | |
| Saint Joseph Health System, Inc. | Past | Accepting new patients |
Locations
800 Rose St
Lexington, KY 40536
Phone (859) 257-8562
3229 Summit Square Pl
Ste 240
Lexington, KY 40509
Phone (502) 867-0411
800 Rose St
Bldg CC282
Lexington, KY 40536
Phone (859) 562-1261
3470 Blazer Pkwy
Ste 200
Lexington, KY 40509
Phone (859) 277-3737
1649 Highway 192 W
London, KY 40741
Phone (606) 330-0055
2520 S Highway 27
Somerset, KY 42501
Phone (606) 416-5719
Interoperability endpoints
- bbotkin314218@ukhcdirect.org
- bbotkin275576@direct.stlukeshealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3012247 | KY | Yes |
Addresses
Primary practice location
3470 Blazer Pkwy Ste 200
Lexington, KY 40509-1887
Mailing address
PO Box 936
London, KY 40743-0936
Other practice location 1
319 Bocote Dr
Berea, KY 40403-9584
Phone (185) 977-9228
Other practice location 2
800 Rose St Bldg Cc282
Lexington, KY 40536-1887
Phone (859) 562-1261
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100575830 | Medicaid | KY |
Other providers in Lexington, KY
- Steven Bosma
- David P Bosomworth II
- Rebecca G Bosomworth
- Braxton Bosshart
- Donald Samuel Thomas Bothe
- Lea Grace Botkins
- Daniel Botros
- Lakshmisarojini Botta
- James A. Bottiggi
- Ronald W. Botto
All providers in Lexington, KY · Family 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 Nov 10, 2023. 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.