Individual provider Active NPI

Madisyn Epperson, PA-C

  • Physician Assistant
  • Somerset, KY
National Provider Identifier
1447815279
Registry record updated May 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
26 Oxford Way Ste B
Somerset, KY 42503-2813
Phone
(606) 425-4298
NPI assigned
May 7, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X KY Primary

Addresses

Primary practice location

26 Oxford Way Ste B
Somerset, KY 42503-2813

Mailing address

117 Provincial Way Apt 1
Berea, KY 40403-7504
Phone (606) 425-2122

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
I20191212001651 KY Practitioner - Physician Assistant 1052744638 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Cumberland Physician Practices, LLC Physician Assistant CurrentSince Sep 19, 2019 Accepting new patients
Russell County Hospital CurrentSince Oct 1, 2020 Accepting new patients
Russell County Hospital CurrentSince Oct 1, 2020 Accepting new patients
Lake Cumberland Physician Practices LLC Physician Assistant CurrentSince Sep 19, 2019 Accepting new patients

Locations

153 Dowell Rd
Russell Springs, KY 42642
Phone (270) 866-4141

30 Tower Cir
Somerset, KY 42503
Phone (606) 451-8644

26 Oxford Way
Ste B
Somerset, KY 42503
Phone (606) 425-4298

Organizations & group practices 5

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": "1557187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557187200000",
    "number": "1447815279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 PROVINCIAL WAY APT 1",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404037504",
            "telephone_number": "606-425-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 OXFORD WAY STE B",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032813",
            "telephone_number": "606-425-4298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPPERSON",
        "first_name": "MADISYN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-07",
        "last_updated": "2019-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

Verify at the official NPI Registry.