Individual provider Active NPI

Ansley Nicole Buckhalter, PA-C

  • Medical Physician Assistant
  • Lexington, KY
National Provider Identifier
1639403710
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA1213 Issued in KY
Practice address
1401 Harrodsburg Rd Ste C305
Lexington, KY 40504-3771
Phone
(859) 278-8400
Fax
(859) 276-3700
NPI assigned
Sep 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA1213 KY Primary
Physician Assistant 363A00000X PA1213 KY
Medical Physician Assistant 363AM0700X TC045 KY

Addresses

Primary practice location

1401 Harrodsburg Rd Ste C305
Lexington, KY 40504-3771

Mailing address

PO Box 936
London, KY 40743-0936

Other practice location 1

3600 Cumberland Ave
Middlesboro, KY 40965-2614
Phone (606) 242-1100

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
I20091107000007 KY Practitioner - Physician Assistant 3971641234 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Saint Joseph Dr
Lexington, KY 40504-3742
Phone (859) 313-1000

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

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA1213KYMDPhysician Assistant
TC045KYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kentuckyone Health Medical Group, Inc. Physician Assistant CurrentSince Mar 1, 2021 Accepting new patients
Neurosurgical Associates PSC Current Accepting new patients
Kentucky Em-I Medical Services PSC Physician Assistant CurrentSince Dec 21, 2020 Accepting new patients
Kentucky Em-I Medical Services PSC Physician Assistant CurrentSince Dec 21, 2020 Accepting new patients

Locations

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

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

1401 Harrodsburg Rd
Ste C305
Lexington, KY 40504
Phone (859) 277-8560

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

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

803 Poplar St
Murray, KY 42071
Phone (270) 762-1155

Interoperability endpoints

  • Direct secure messaging: ansleybuckhalter@kysjhspe.allscriptsdirect.net
  • Direct secure messaging: abuckhalter275163@direct.stlukeshealth.org

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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": "1253664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1639403710",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 HARRODSBURG RD STE C305",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043771",
            "telephone_number": "859-278-8400",
            "fax_number": "859-276-3700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3600 Cumberland Ave",
            "address_purpose": "LOCATION",
            "city": "Middlesboro",
            "state": "KY",
            "postal_code": "409652614",
            "country_code": "US",
            "telephone_number": "606-242-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCKHALTER",
        "first_name": "ANSLEY",
        "middle_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-23",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "PA1213",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA1213",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "TC045",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.