Lydia Ann Pennington, APRN
Individual provider Active NPI Family Nurse Practitioner · Rush, KY
NPI 1467190868 · NPPES record last updated May 25, 2022
Key facts
- NPI
- 1467190868
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 3017667 (KY)
- Practice address
- 7715 E US Highway 60
Rush, KY 41168-8807 - Phone
- (606) 547-1303
- NPI assigned
- May 25, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.34 of 100
- Quality
- 96.98
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.13
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 |
|---|---|---|---|---|
| I20220829000452 | KY | Practitioner - Nurse Practitioner | 6204210008 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lewis Family Care, Inc. | Family | Current |
Accepting new patients |
Locations
6628 US Route 60
Ashland, KY 41102
Phone (606) 928-7755
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3017667 | KY | Yes |
Addresses
Primary practice location
7715 E US Highway 60
Rush, KY 41168-8807
Mailing address
7715 E US Highway 60
Rush, KY 41168-8807
Phone (606) 547-1303
Other providers in Rush, KY
- Misty Morrison Griswold
- Stephanie Rooker Kazee
- Sarah Elizabeth Long
- Kelli Elizabeth McCormick
- Mindful Path Counseling & Wellness LLC
- Ramey Estep Homes Inc
- Ramey Estep Homes Inc
- Ramey Estep Homes Inc
- Ramey Estep Homes, Inc
- Ramey-Estep Homes, Inc
All providers in Rush, 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 May 25, 2022. 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.