Individual provider Active NPI

Sandra Mingua, MSN, FNP-C

  • Family Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1427669282
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3014950 Issued in KY
Practice address
4101 Tates Creek Road
Lexington, KY 40517
Phone
(859) 977-2008
NPI assigned
Aug 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3014950 KY Primary

Addresses

Primary practice location

4101 Tates Creek Road
Lexington, KY 40517

Mailing address

105 Brook CT
Nicholasville, KY 40356-2929
Phone (859) 553-4124

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
I20200831001099 KY Practitioner - Nurse Practitioner 3173940533 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kiosk Medicine Kentucky LLCGroup PAC ID 6002887510, 169 clinicians

Practice addresses (Care Compare)

106 Market Place Cir
Georgetown, KY 40324-7400
Phone (502) 868-6736

1600 Leestown Rd
Suite 150
Lexington, KY 40511-2136
Phone (859) 259-4890

212 Kroger Way
Versailles, KY 40383-1991
Phone (859) 297-1072

302 Brighton Park Blvd S
Frankfort, KY 40601-3713
Phone (502) 848-5904

3039 Breckenridge LN
Louisville, KY 40220-2101
Phone (502) 451-4555

3101 Richmond Rd
Lexington, KY 40509-1599
Phone (859) 268-9866

3175 Beaumont Centre Cir
Lexington, KY 40513-1957
Phone (859) 219-5152

4101 Tates Creek Centre Dr
Lexington, KY 40517-3066
Phone (859) 977-2008

890 Richmond PLZ
Richmond, KY 40475-2564
Phone (859) 623-5155

90 Stonegate Ctr
Somerset, KY 42501-6212
Phone (606) 451-4425

Merit-based Incentive Payment System (MIPS)

Final score
83.72 of 100Reported as group
Quality
66.02
Promoting interoperability
100
Improvement activities
40
Cost
79.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
3014950KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kiosk Medicine Kentucky LLC Family CurrentSince Sep 27, 2022 Accepting new patients
FC TN, PLLC Family PastSince Mar 21, 2021 Accepting new patients

Locations

4101 Tates Creek Centre Dr
Lexington, KY 40517
Phone (859) 272-2575

3039 Breckenridge Ln
Louisville, KY 40220
Phone (502) 451-4555

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1427669282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 BROOK CT",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403562929",
            "telephone_number": "859-553-4124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 TATES CREEK ROAD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40517",
            "telephone_number": "859-977-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINGUA",
        "first_name": "SANDRA",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-13",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3014950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.