Individual provider Active NPI

Alexandria Lauren Wilson, PA

  • Physician Assistant
  • Lexington, KY
National Provider Identifier
1679050777
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2441 Issued in KY
Practice address
1000 S Limestone
Lexington, KY 40536-2425
Phone
(859) 323-5901
Fax
(859) 323-3040
NPI assigned
Jul 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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 PA2441 KY
Surgical Physician Assistant 363AS0400X PA2441 KY
Physician Assistant 363A00000X PA2441 KY Primary

Addresses

Primary practice location

1000 S Limestone
Lexington, KY 40536-2425

Mailing address

793 Eastern Byp Ste 101
Richmond, KY 40475-2425
Phone (859) 626-8645

Other practice location 1

793 Eastern Byp Ste 101
Richmond, KY 40475-2425
Phone (859) 626-8645

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
I20180906001334 KY Practitioner - Physician Assistant 9739439175 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA2441KYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Oct 1, 2021 Accepting new patients
Baptist Health Medical Group Inc Physician Assistant CurrentSince Oct 1, 2021 Accepting new patients
University of Kentucky CurrentSince Aug 22, 2018 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Nov 1, 2023 Accepting new patients

Locations

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

96 Future Dr
Corbin, KY 40701

1000 S Limestone
Lexington, KY 40506
Phone (859) 323-5901

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

800 Rose St
Rm M53
Lexington, KY 40536
Phone (859) 323-5083

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

793 Eastern Byp
Ste 101
Richmond, KY 40475
Phone (859) 623-5920

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

Interoperability endpoints

  • Direct secure messaging: awilson19487@ukhcdirect.org

Organizations & group practices 7

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": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1679050777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "793 EASTERN BYP STE 101",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404752425",
            "telephone_number": "859-626-8645",
            "fax_number": "859-626-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S LIMESTONE",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405362425",
            "telephone_number": "859-323-5901",
            "fax_number": "859-323-3040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "793 Eastern Byp Ste 101",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "KY",
            "postal_code": "404752425",
            "country_code": "US",
            "telephone_number": "859-626-8645",
            "fax_number": "859-626-8661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ALEXANDRIA",
        "middle_name": "LAUREN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-23",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "PA2441",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "KY",
            "license": "PA2441",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA2441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.