NPIMap

Individual provider Active NPI

Rae Eaves, APRN

  • Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1497179477
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3008431 Issued in KY
Practice address
2101 Nicholasville Rd
Ste 106
Lexington, KY 40503-2517
Phone
(859) 278-5926
Fax
(859) 276-3189
NPI assigned
Feb 11, 2014
Last updated
Oct 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3008431 KY
Nurse Practitioner 363L00000X 3008431 KY Primary

Addresses

Primary practice location

2101 Nicholasville Rd
Ste 106
Lexington, KY 40503-2517

Mailing address

3198 Custer Dr
Ste 100
Lexington, KY 40517-4074
Phone (859) 231-6996

Other identifiers 1

IdentifierTypeStateIssuer
7100272720MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140318000589 KY Practitioner - Nurse Practitioner 6103057005 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eventus Ecs, IncGroup PAC ID 2163969650, 243 clinicians
Extended Care Specialists, IncGroup PAC ID 2466407713, 295 clinicians
Eventus Wholehealth Midwest IncGroup PAC ID 4183040470, 120 clinicians

Practice addresses (Care Compare)

306 W Main St
Suite 512
Frankfort, KY 40601-1840
Phone (855) 743-2247

828 Lane Allen Rd
Suite 219
Lexington, KY 40504-3659
Phone (260) 483-9081

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3008431KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eventus Ecs, Inc Nurse Practitioner CurrentSince Dec 13, 2024 Accepting new patients
Extended Care Specialists, Inc Nurse Practitioner CurrentSince May 14, 2024 Accepting new patients
Skinner Wellness Center PLC Family CurrentSince Mar 31, 2018 Accepting new patients
Eventus Wholehealth Midwest Inc Nurse Practitioner CurrentSince Oct 1, 2024 Accepting new patients
Eventus Ecs - Kentucky, PLLC Nurse Practitioner CurrentSince Sep 1, 2025 Accepting new patients
Eventus WH Midwest Care, LLC Nurse Practitioner CurrentSince Jan 3, 2026 Accepting new patients
Baptist Physicians Lexington, Inc Nurse Practitioner Past Accepting new patients
Baptist Physicians Lexington, Inc Nurse Practitioner Past Accepting new patients

Locations

922 State St
Fl 4
Bowling Green, KY 42101

306 W Main St
Ste 512
Frankfort, KY 40601
Phone (860) 215-2295

3198 Custer Dr
Ste 100
Lexington, KY 40517
Phone (859) 231-6996

828 Lane Allen Rd
Ste 219
Lexington, KY 40504

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1392076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1497179477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3198 CUSTER DR",
            "address_2": "STE 100",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405174074",
            "telephone_number": "859-231-6996",
            "fax_number": "859-255-4104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 NICHOLASVILLE RD",
            "address_2": "STE 106",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032517",
            "telephone_number": "859-278-5926",
            "fax_number": "859-276-3189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAVES",
        "first_name": "RAE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-11",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3008431",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3008431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100272720",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.