Serge Ndeta, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

3017475 Issued in KY

Practice address

1306 Versailles Rd Ste 120
Lexington, KY 40504-1795

Phone

(859) 259-2635

Fax

(859) 254-7874

NPI assigned

Feb 13, 2023

Last updated

Dec 4, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Madison Healthcare Services

  • Primary Care Clinic/Center
  • Richmond, KY
  • NPI 1083365670

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Bluegrass Primary Health Care Center, Inc.

  dba Bluegrass Community Health Center-Versailles Road

  • Federally Qualified Health Center (FQHC)
  • Lexington, KY
  • NPI 1215567474
  Medicare reassignment
• Bluegrass Primary Health Care Center, Inc.

  dba Bluegrass Community Health Center-Eagle Creek

  • Federally Qualified Health Center (FQHC)
  • Lexington, KY
  • NPI 1356972764
  NPD
• Bluegrass Primary Health Care Center, Inc.

  dba Bluegrass Community Health Center-George Rogers Clark HighSchoolClinic

  • Federally Qualified Health Center (FQHC)
  • Winchester, KY
  • NPI 1447009303
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1699472324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 VERSAILLES RD STE 120",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405041795",
            "telephone_number": "859-259-2635",
            "fax_number": "859-254-7874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 VERSAILLES RD STE 120",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405041795",
            "telephone_number": "859-259-2635",
            "fax_number": "859-254-7874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 Codell Dr Ste 140",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405091177",
            "country_code": "US",
            "telephone_number": "859-788-7882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NDETA",
        "first_name": "SERGE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-13",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3017475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlsey McAlister Nave
• Iram Nawaz, MD
• Ryan Nazar
• Raquel Leilani Nazario, LPT
• Esperance Ndeemya
• NDT Care Services, LLC (Homeplace Support Services)
• Nancy Karulenzi Nduhira
• Joshua Neace, APRN
• Kayla Neace, APRN
• Samantha Neace

• Psychiatric/Mental Health Nurse Practitioner in Lexington, KY
• Providers in Lexington, KY by specialty
• Psychiatric/Mental Health Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.