Individual provider Active NPI

Kayla Elizabeth Lewis Marcum, APRN

  • Family Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1609439397
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3013311 Issued in KY
Practice address
3101 Richmond Rd Ste 202
Lexington, KY 40509-1525
Phone
(859) 269-2273
NPI assigned
Apr 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3013311 KY
Family Nurse Practitioner 363LF0000X 3013311 KY Primary

Addresses

Primary practice location

3101 Richmond Rd Ste 202
Lexington, KY 40509-1525

Mailing address

PO Box 429
Berea, KY 40403-0429
Phone (859) 523-5310

Other practice location 1

234 Brenwood St
Berea, KY 40403-1637
Phone (859) 985-0302

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
I20190823002213 KY Practitioner - Nurse Practitioner 2264760537 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Berea Urgent Care LLC 9 clinicians

Practice addresses (Care Compare)

234 Brenwood St
Berea, KY 40403-1637
Phone (859) 985-0302

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Urgent Care PLLC Nurse Practitioner CurrentSince Jun 30, 2019 Accepting new patients
Man O War Urgent Care LLC Nurse Practitioner CurrentSince Jun 30, 2019 Accepting new patients
Berea Urgent Care LLC Nurse Practitioner CurrentSince Jun 30, 2019 Accepting new patients
Georgetown Urgent Care PLLC Nurse Practitioner PastSince Jun 30, 2019 Accepting new patients
Frankfort Urgent Care Past Accepting new patients

Locations

234 Brenwood St
Berea, KY 40403
Phone (859) 985-0302

111 Osborne Way
Ste 101
Georgetown, KY 40324
Phone (859) 466-8956

844 S College St
Harrodsburg, KY 40330
Phone (859) 734-0081

1004 Bypass N
Ste D
Lawrenceburg, KY 40342
Phone (502) 353-4220

1701 Nicholasville Rd
Ste 100
Lexington, KY 40503
Phone (859) 466-8956

4097 Nichols Park Dr
Ste 108
Lexington, KY 40503
Phone (859) 245-2273

1701 Nicholasville Rd
Lexington, KY 40503
Phone (859) 278-9373

3101 Richmond Rd
Ste 202
Lexington, KY 40509
Phone (606) 266-2223

890 Richmond Plz
Richmond, KY 40475
Phone (859) 623-5155

432 Lexington Rd
Versailles, KY 40383
Phone (859) 523-5310

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: kayla.marcum@krogerhealth.eclinicaldirectplus.com
  • Direct secure messaging: kaylamarcum@bucl-ky.direct.office.nextgen.com

Organizations & group practices 5

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": "1555459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1609439397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 429",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404030429",
            "telephone_number": "859-523-5310",
            "fax_number": "859-523-5312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 RICHMOND RD STE 202",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091525",
            "telephone_number": "859-269-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "234 Brenwood St",
            "address_purpose": "LOCATION",
            "city": "Berea",
            "state": "KY",
            "postal_code": "404031637",
            "country_code": "US",
            "telephone_number": "859-985-0302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARCUM",
        "first_name": "KAYLA",
        "middle_name": "ELIZABETH LEWIS",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-17",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3013311",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3013311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.