Individual provider Active NPI

Andrea Hale Stucker, P.A.-C

  • Physician Assistant
  • Bardstown, KY
National Provider Identifier
1578821393
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA1721 Issued in KY
Practice address
4371 New Shepherdsville Rd
Bardstown, KY 40004-8040
Phone
(502) 348-5685
Fax
(502) 331-4361
NPI assigned
Apr 30, 2012
Last updated
Aug 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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 PA1721 KY Primary

Addresses

Primary practice location

4371 New Shepherdsville Rd
Bardstown, KY 40004-8040

Mailing address

PO Box 936
London, KY 40743-0936
Phone (606) 330-7835

Other practice location 1

3615 E John Rowan Blvd Ste 203
Bardstown, KY 40004-3265
Phone (502) 337-6815

Other identifiers 2

IdentifierTypeStateIssuer
PA1721OtherKYMEDICAL LICENSE
7100212110MedicaidKY

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
I20120607000735 KY Practitioner - Physician Assistant 4587828249 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Flaget Healthcare IncGroup PAC ID 5890692024, 19 clinicians

Practice addresses (Care Compare)

110 S Salem Dr
Bardstown, KY 40004-1761
Phone (502) 350-5081

1401 Harrodsburg Rd
Suite A300
Lexington, KY 40504-3787
Phone (859) 276-4429

2750 Battlefield Memorial Hwy
Berea, KY 40403-8332
Phone (859) 968-0302

305 Estill St
Berea, KY 40403-1742
Phone (859) 986-8418

325 N Walnut St
Lebanon, KY 40033-1377
Phone (859) 215-5665

4305 New Shepherdsville Rd
Bardstown, KY 40004-9019
Phone (502) 350-5032

4371 New Shepherdsville Rd
Bardstown, KY 40004-8040
Phone (502) 350-1022

875 Pennsylvania Ave
Bardstown, KY 40004-2529
Phone (502) 348-5685

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TC102KYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kentuckyone Health Medical Group, Inc. Physician Assistant CurrentSince Jan 15, 2024 Accepting new patients
Flaget Healthcare Inc Current Accepting new patients
Neurosurgical Associates PSC Current Accepting new patients
Flaget Healthcare Inc CurrentSince Oct 1, 2025 Accepting new patients
Flaget Healthcare, Inc CurrentSince Oct 1, 2025 Accepting new patients
Kentuckyone Health Medical Group, Inc. Physician Assistant CurrentSince Jan 15, 2024 Accepting new patients

Locations

118 Patriot Dr
Bardstown, KY 40004
Phone (502) 349-9339

4305 New Shepherdsville Rd
Bardstown, KY 40004
Phone (502) 350-5000

4371 New Shepherdsville Rd
Bardstown, KY 40004
Phone (502) 348-5685

4371 New Shepherdsville Rd
Unit 100
Bardstown, KY 40004
Phone (502) 337-6815

875 Pennsylvania Ave
Bardstown, KY 40004
Phone (502) 348-5685

305 Estill St
Berea, KY 40403
Phone (859) 986-1415

325 W Walnut St
Lebanon, KY 40033
Phone (270) 699-9500

1401 Harrodsburg Rd
Ste A300
Lexington, KY 40504
Phone (859) 313-4744

150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773

Interoperability endpoints

  • Direct secure messaging: ahale20704@bhkydirect.com
  • Direct secure messaging: andreastucker@kysjhspe.allscriptsdirect.net
  • Direct secure messaging: astucker289431@direct.stlukeshealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1335744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1578821393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407430936",
            "telephone_number": "606-330-7835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4371 NEW SHEPHERDSVILLE RD",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400048040",
            "telephone_number": "502-348-5685",
            "fax_number": "502-331-4361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3615 E John Rowan Blvd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Bardstown",
            "state": "KY",
            "postal_code": "400043265",
            "country_code": "US",
            "telephone_number": "502-337-6815",
            "fax_number": "502-357-1682",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STUCKER",
        "first_name": "ANDREA",
        "middle_name": "HALE",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-30",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA1721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "PA1721",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100212110",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bardstown, KY

Sources for this page

Verify at the official NPI Registry.