Individual provider Active NPI

Andree Deifel, NP-C

  • Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1639624349
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3010669 Issued in KY
Practice address
1301 Winchester Rd Ste 147
Lexington, KY 40505-4179
Phone
(859) 309-2814
NPI assigned
Aug 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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 3010669 KY Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3010669 KY

Addresses

Primary practice location

1301 Winchester Rd Ste 147
Lexington, KY 40505-4179

Mailing address

1301 Winchester Rd Ste 147
Lexington, KY 40505-4179
Phone (859) 309-2814

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
I20161102002186 KY Practitioner - Nurse Practitioner 8921386525 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
LJKSGroup PAC ID 2769895374, 6 clinicians

Practice addresses (Care Compare)

1301 Winchester Rd
Suite 147
Lexington, KY 40505-4179
Phone (859) 309-2814

206 Wayne Dr
Richmond, KY 40475-2337
Phone (859) 309-2814

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3010669KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Emergency Services P C Nurse Practitioner CurrentSince Sep 1, 2016 Accepting new patients
Clark Emergency Physicians Nurse Practitioner CurrentSince Jul 1, 2017 Accepting new patients
LJKS Nurse Practitioner CurrentSince Aug 18, 2020 Accepting new patients
Main Street Medical Associates Nurse Practitioner Current Accepting new patients
Andilou LLC Psychiatric/Mental Health Current Accepting new patients

Locations

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

1301 Winchester Rd
Ste 147
Lexington, KY 40505
Phone (859) 309-2814

206 Wayne Dr
Richmond, KY 40475
Phone (859) 309-2814

305 Langdon St
Somerset, KY 42503
Phone (606) 451-2994

175 Hospital Dr
Winchester, KY 40391
Phone (859) 745-3500

1431 Centerpoint Blvd
Ste 100
Knoxville, TN 37932
Phone (865) 539-8000

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": "1471910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1639624349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 WINCHESTER RD STE 147",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405054179",
            "telephone_number": "859-309-2814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 WINCHESTER RD STE 147",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405054179",
            "telephone_number": "859-309-2814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEIFEL",
        "first_name": "ANDREE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-23",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3010669",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3010669",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.