Individual provider Active NPI

Lauren Alderdice Ridgway, PA-C

  • Physician Assistant
  • Lexington, KY
National Provider Identifier
1497990725
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1169 Issued in KY
Practice address
2405 Harrodsburg Rd
Lexington, KY 40504-3329
Phone
(859) 278-9492
Fax
(859) 469-5461
NPI assigned
Dec 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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 1169 KY Primary

Addresses

Primary practice location

2405 Harrodsburg Rd
Lexington, KY 40504-3329

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other practice location 1

316 Spangler Dr
Richmond, KY 40475-2351
Phone (859) 623-4241

Other identifiers 2

IdentifierTypeStateIssuer
0169OtherKYLC MEDICARE GROUP ID
95900478OtherKYLC MEDICAID GROUP ID PA NUMBER

Other names 1

  • Ms. Lauren Elizabeth Alderdice Former name

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
I20090309000583 KY Practitioner - Physician Assistant 7618033036 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

2405 Harrodsburg Rd
Lexington, KY 40504-3329
Phone (859) 278-9792

316 Spangler Dr
Richmond, KY 40475-2351
Phone (859) 623-4241

501 S 2ND St
Louisville, KY 40202-2862
Phone (502) 583-7546

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1169KYMDProfessional Counselor
TC080KYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Clinics, LLC CurrentSince Nov 21, 2021 Accepting new patients
Mercy Health Clinics, LLC CurrentSince Nov 21, 2021 Accepting new patients
Forefront Dermatology, S.C. CurrentSince Aug 27, 2024 Accepting new patients
Forefront Dermatology, S.C. CurrentSince Aug 27, 2024 Accepting new patients
University of Kentucky CurrentSince Dec 1, 2020 Accepting new patients
Forefront Dermatology, S.C. Past Accepting new patients
Rockcastle Ventures Inc. Doing Business As Rockcastle Clinic Physician Assistant Past Accepting new patients

Locations

749 Irvine Rd
Clay City, KY 40312
Phone (606) 663-2153

1100 Richmond Rd
Irvine, KY 40336
Phone (606) 723-7706

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

2405 Harrodsburg Rd
Lexington, KY 40504
Phone (859) 278-9492

501 S 2nd St
Louisville, KY 40202
Phone (502) 583-7546

316 Spangler Dr
Richmond, KY 40475
Phone (859) 623-4241

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Interoperability endpoints

  • Direct secure messaging: lridgway33217@ukhcdirect.org

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1229385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1497990725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 HARRODSBURG RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043329",
            "telephone_number": "859-278-9492",
            "fax_number": "859-469-5461"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "316 SPANGLER DR",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "KY",
            "postal_code": "404752351",
            "country_code": "US",
            "telephone_number": "859-623-4241",
            "fax_number": "859-623-4242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIDGWAY",
        "first_name": "LAUREN",
        "middle_name": "ALDERDICE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-16",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "1169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LC MEDICARE GROUP ID",
            "identifier": "0169",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LC MEDICAID GROUP ID PA NUMBER",
            "identifier": "95900478",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "ALDERDICE",
            "middle_name": "ELIZABETH",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.