Individual provider Active NPI

Mary Elizabeth Watson, PA

  • Physician Assistant
  • Lexington, KY
National Provider Identifier
1487219879
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA3372 Issued in KY
Practice address
3084 Lakecrest Cir Ste 100
Lexington, KY 40513-1972
Phone
(859) 639-1210
Fax
(859) 639-1211
NPI assigned
May 1, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X PA3372 KY Primary

Addresses

Primary practice location

3084 Lakecrest Cir Ste 100
Lexington, KY 40513-1972

Mailing address

3084 Lakecrest Cir Ste 100
Lexington, KY 40513-1972
Phone (859) 639-1210

Other names 1

  • Mary Elizabeth Matthews Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200720000967 NC Practitioner - Physician Assistant 4385079078
I20240206003685 KY Practitioner - Physician Assistant 4385079078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
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)

1001 Leawood Dr
Frankfort, KY 40601-3375
Phone (502) 223-0231

3084 Lakecrest Cir
Suite 150
Lexington, KY 40513-1706
Phone (859) 260-6050

4071 Tates Creek Centre Dr
Suite 202
Lexington, KY 40517-3094
Phone (859) 260-4390

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA3372KYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc Multi-Specialty CurrentSince Jan 23, 2024 Accepting new patients
Baptist Health Medical Group Inc Multi-Specialty CurrentSince Jan 23, 2024 Accepting new patients
Person Family Medical Center Incorporated PastSince Dec 1, 2019 Accepting new patients
Baptist Health Medical Group Inc Multi-Specialty Past Accepting new patients
Baptist Community Health Services Inc Multi-Specialty Past Accepting new patients

Locations

1001 Leawood Dr
Ste B
Frankfort, KY 40601

3084 Lakecrest Cir
Lexington, KY 40513
Phone (859) 219-6440

3084 Lakecrest Cir
Ste 100
Lexington, KY 40513
Phone (859) 219-6440

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

5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924

Interoperability endpoints

  • Direct secure messaging: mary.matthews.p1@direct.personfamily.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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 2

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": "1556668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1487219879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3084 LAKECREST CIR STE 100",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131972",
            "telephone_number": "859-639-1210",
            "fax_number": "859-639-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3084 LAKECREST CIR STE 100",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131972",
            "telephone_number": "859-639-1210",
            "fax_number": "859-639-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-01",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA3372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "MATTHEWS",
            "middle_name": "ELIZABETH",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.