Individual provider Active NPI

Lela Kristine Cole, ARNP

  • Family Nurse Practitioner
  • Mayfield, KY
National Provider Identifier
1609104546
Registry record updated May 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6289P Issued in KY
Practice address
110 S 9TH St
Mayfield, KY 42066-2208
Phone
(270) 247-7795
Fax
(270) 247-9013
NPI assigned
Dec 4, 2009
Last updated
May 20, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 6289P KY Primary

Addresses

Primary practice location

110 S 9TH St
Mayfield, KY 42066-2208

Mailing address

110 S 9TH St
Mayfield, KY 42066-2208
Phone (270) 247-7795

Other identifiers 2

IdentifierTypeStateIssuer
000000644605OtherKYANTHEM BCBS
7100110690MedicaidKY

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
I20100129000183 KY Practitioner - Nurse Practitioner 1850433848 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitae Health Medical Kentucky, LLCGroup PAC ID 3173952637, 28 clinicians

Practice addresses (Care Compare)

3500 Good Samaritan Way
Louisville, KY 40299-6117
Phone (502) 267-7403

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6289PKYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Provider Partners Care Management LP CurrentSince Mar 4, 2026 Accepting new patients
Pinelake Physician Practice, LLC Current Accepting new patients
Telos Health Systems Ky LLC CurrentSince May 1, 2020 Accepting new patients
Pinelake Physician Practice, LLC CurrentSince Sep 1, 2017 Accepting new patients
Pinelake Physician Practice, LLC CurrentSince Sep 1, 2017 Accepting new patients
Hospital of Fulton Inc Family Past Accepting new patients

Locations

106 W Clay St
Clinton, KY 42031
Phone (270) 653-0220

2003 S 7th St
Hickman, KY 42050
Phone (270) 236-3202

3500 Good Samaritan Way
Louisville, KY 40299
Phone (502) 267-7403

1029 Medical Center Cir
Ste 401
Mayfield, KY 42066
Phone (270) 251-4590

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 1

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": "1259884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432080000000",
    "number": "1609104546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S 9TH ST",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420662208",
            "telephone_number": "270-247-7795",
            "fax_number": "270-247-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S 9TH ST",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420662208",
            "telephone_number": "270-247-7795",
            "fax_number": "270-247-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "LELA",
        "middle_name": "KRISTINE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-04",
        "last_updated": "2015-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "6289P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000644605",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100110690",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayfield, KY

Sources for this page

Verify at the official NPI Registry.