Individual provider Active NPI

Crystal L Kincaid, DPM

  • Podiatrist
  • Winchester, KY
National Provider Identifier
1669500799
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
00298 Issued in KY
Practice address
225 Hospital Dr
Winchester, KY 40391-7604
Phone
(859) 737-8528
Fax
(859) 737-8529
NPI assigned
Mar 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 00298 KY Primary

Addresses

Primary practice location

225 Hospital Dr
Winchester, KY 40391-7604

Mailing address

225 Hospital Dr
Winchester, KY 40391-7604
Phone (859) 737-8528

Other identifiers 1

IdentifierTypeStateIssuer
7100024890MedicaidKY

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070706000403 KY Practitioner - Podiatry 2860592771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clark Regional Physician Practices LLCGroup PAC ID 9739337569, 46 clinicians

Practice addresses (Care Compare)

175 Hospital Dr
Winchester, KY 40391-9591
Phone (859) 737-6494

225 Hospital Dr
Winchester, KY 40391-7604

Hospital & facility affiliations

  • Clark Regional Medical Center Hospital, Winchester, KY, CCN 180092
  • Baptist Health Lexington Hospital, Lexington, KY, CCN 180103
  • University of Kentucky Hospital Hospital, Lexington, KY, CCN 180067

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue50
Removal of skin lesions1-10
Removal of nail tissue662
Removal or shaving of skin growth127

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clark Regional Physician Practices, LLC Podiatrist CurrentSince Sep 12, 2016 Accepting new patients
Clark Regional Physician Practices LLC CurrentSince Sep 12, 2016 Accepting new patients
Kentucky Hospital, LLC Past Accepting new patients
Feet First Podiatry PLLC Podiatrist PastSince Dec 1, 2007 Accepting new patients

Locations

225 Hospital Dr
Ste 120
Winchester, KY 40391
Phone (859) 737-8528

225 Hospital Dr
Winchester, KY 40391
Phone (859) 737-8528

225 Hospital Dr
Ste 200A
Winchester, KY 40391
Phone (859) 737-6480

Interoperability endpoints

  • Direct secure messaging: crystal.kincaid.1@19475.direct.athenahealth.com
  • Direct secure messaging: bgu9087@yourcarecommunity.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 3

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": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477958400000",
    "number": "1669500799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 HOSPITAL DR",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403917604",
            "telephone_number": "859-737-8528",
            "fax_number": "859-737-8529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 HOSPITAL DR",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403917604",
            "telephone_number": "859-737-8528",
            "fax_number": "859-737-8529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINCAID",
        "first_name": "CRYSTAL",
        "middle_name": "L",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2016-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "KY",
            "license": "00298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100024890",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, KY

Sources for this page

Verify at the official NPI Registry.