Individual provider Active NPI

Brooke Elizabeth Skaggs, PA

  • Physician Assistant
  • Lexington, KY
National Provider Identifier
1487121372
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2439 Issued in KY
Practice address
2195 Harrodsburg Rd FL 2
Lexington, KY 40504-3516
Phone
(859) 323-8082
Fax
(859) 257-5901
NPI assigned
Oct 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA2439 KY
Surgical Physician Assistant 363AS0400X PA2439 KY
Physician Assistant 363A00000X PA2439 KY Primary
Physician Assistant 363A00000X TC758 KY

Addresses

Primary practice location

2195 Harrodsburg Rd FL 2
Lexington, KY 40504-3516

Mailing address

2195 Harrodsburg Rd FL 2
Lexington, KY 40504-3516
Phone (859) 323-8082

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
I20181105001231 KY Practitioner - Physician Assistant 9133472343 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of KentuckyGroup PAC ID 3072425289, 778 clinicians

Practice addresses (Care Compare)

101 Sanders-Brown BLDG
Lexington, KY 40536-0001
Phone (859) 257-1412

310 S Limestone
Lexington, KY 40508-3008
Phone (859) 226-7078

740 S Limestone
E214
Lexington, KY 40536-0001
Phone (859) 323-3368

770 Rose St
Mn328
Lexington, KY 40536-0001
Phone (859) 323-8873

800 Rose St
Lexington, KY 40536-0001
Phone (859) 257-8562

Hospital & facility affiliations

  • University of Kentucky Hospital Hospital, Lexington, KY, CCN 180067

Merit-based Incentive Payment System (MIPS)

Final score
88.76 of 100Reported as group
Quality
78.19
Promoting interoperability
100
Improvement activities
40
Cost
70.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TC758KYMDPhysician Assistant
PA2439KYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pikeville Medical Center Inc. Physician Assistant CurrentSince Mar 10, 2023 Accepting new patients
University of Kentucky CurrentSince Nov 9, 2018 Accepting new patients
Pikeville Medical Center Inc CurrentSince Mar 10, 2023 Accepting new patients
University of Kentucky Past Accepting new patients

Locations

2195 Harrodsburg Rd
Ste 2
Lexington, KY 40504
Phone (859) 323-8082

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

184 S Mayo Trl
Pikeville, KY 41501
Phone (606) 430-2213

Interoperability endpoints

  • Direct secure messaging: bwilson24849@ukhcdirect.org

Organizations & group practices 4

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 1

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": "1540771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1487121372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2195 HARRODSBURG RD FL 2",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043516",
            "telephone_number": "859-323-8082",
            "fax_number": "859-257-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2195 HARRODSBURG RD FL 2",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043516",
            "telephone_number": "859-323-8082",
            "fax_number": "859-257-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKAGGS",
        "first_name": "BROOKE",
        "middle_name": "ELIZABETH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-29",
        "last_updated": "2023-07-11",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "PA2439",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "KY",
            "license": "PA2439",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA2439",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "TC758",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.