Individual provider Active NPI

Alexis Sullivan, CNP

  • Nurse Practitioner
  • Nicholasville, KY
National Provider Identifier
1386216679
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3015918 Issued in KY
Practice address
1020 High Point Dr
Nicholasville, KY 40356-8306
Phone
(859) 486-8582
NPI assigned
Jul 15, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3015918 KY Primary

Addresses

Primary practice location

1020 High Point Dr
Nicholasville, KY 40356-8306

Mailing address

1020 High Point Dr
Nicholasville, KY 40356-8306
Phone (859) 486-8582

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
I20220414001148 KY Practitioner - Nurse Practitioner 7517353717 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

1720 Nicholasville Rd
Suite 701
Lexington, KY 40503-1404
Phone (859) 276-0414

Hospital & facility affiliations

  • Baptist Health Lexington Hospital, Lexington, KY, CCN 180103
  • Baptist Health Corbin Hospital, Corbin, KY, CCN 180080
  • Baptist Health Richmond Hospital, Richmond, KY, CCN 180049
  • Ephraim McDowell Regional Medical Center Hospital, Danville, KY, CCN 180048

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Oct 1, 2024 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Apr 7, 2022 Accepting new patients
Baptist Health Medical Group Inc Nurse Practitioner CurrentSince Oct 1, 2024 Accepting new patients

Locations

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

1720 Nicholasville Rd
Ste 701
Lexington, KY 40503
Phone (859) 260-4390

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 3

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 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": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1386216679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 HIGH POINT DR",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403568306",
            "telephone_number": "859-486-8582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 HIGH POINT DR",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403568306",
            "telephone_number": "859-486-8582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "ALEXIS",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-15",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3015918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nicholasville, KY

Sources for this page

Verify at the official NPI Registry.