Active NPI
Andrea Hale Stucker, P.A.-C
- Physician Assistant
- Bardstown, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA1721
- 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, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA1721 | Other | KY | MEDICAL LICENSE |
| 7100212110 | Medicaid | KY |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| TC102 | KY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentuckyone Health Medical Group, Inc. | Physician Assistant | Current | Accepting new patients |
| Flaget Healthcare Inc | Current | Accepting new patients | |
| Neurosurgical Associates PSC | Current | Accepting new patients | |
| Flaget Healthcare Inc | Current | Accepting new patients | |
| Flaget Healthcare, Inc | Current | Accepting new patients | |
| Kentuckyone Health Medical Group, Inc. | Physician Assistant | Current | 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
- ahale20704@bhkydirect.com
- andreastucker@kysjhspe.allscriptsdirect.net
- 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.
-
- Internal Medicine Physician
- Bardstown, KY
- NPI 1104988203
-
dba CHI Saint Joseph Medical Group
- Family Medicine Physician
- Lexington, KY
- NPI 1104875970
Physician Assistant
-
dba Flaget Primary Care Associates New Haven RHC
- Rural Health Clinic/Center
- New Haven, KY
- NPI 1376159236
-
dba Flaget Healthcare Obstetrics and Gynecology RHC
- Rural Health Clinic/Center
- Bardstown, KY
- NPI 1710590880
-
dba CHI Saint Joseph Medical Group
- General Practice Physician
- Lexington, KY
- NPI 1902238694
Physician Assistant
-
- Neurological Surgery Physician
- Lexington, KY
- NPI 1235110925
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Health Hardin
- General Acute Care Hospital
- Elizabethtown, KY
- NPI 1689282147
-
dba CHI Saint Joseph Health - Flaget Memorial Hospital
- General Acute Care Hospital
- Bardstown, KY
- NPI 1871588772
-
dba CommonSpirit Health at Home - Louisville
- Home Health Agency
- Louisville, KY
- NPI 1114279510
-
dba Spring View Hospital
- Rural Acute Care Hospital
- Lebanon, KY
- NPI 1780746420
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.