Individual provider Active NPI

Jonathan David Culler, PA-C

  • Physician Assistant
  • Lexington, KY
National Provider Identifier
1700347127
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2600 Issued in KY
Practice address
1401 Harrodsburg Rd Ste A540
Lexington, KY 40504-1720
Phone
(859) 258-6760
Fax
(859) 258-6512
NPI assigned
Mar 28, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA2600 KY
Surgical Physician Assistant 363AS0400X PA2600 KY
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X PA2600 KY Primary

Addresses

Primary practice location

1401 Harrodsburg Rd Ste A540
Lexington, KY 40504-1720

Mailing address

1401 Harrodsburg Rd Ste A540
Lexington, KY 40504-1720
Phone (859) 258-6760

Other practice location 1

700 Graydon Ave Apt A
Norfolk, VA 23507-1621
Phone (859) 317-3541

Other practice location 2

740 S Limestone
Lexington, KY 40536-1720
Phone (859) 323-5661

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
I20201109002139 KY Practitioner - Physician Assistant 6608286398 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of KentuckyGroup PAC ID 3072425289, 778 clinicians

Practice addresses (Care Compare)

101 Sanders-Brown BLDG
Lexington, KY 40536-0001
Phone (859) 257-1412

740 S Limestone
Lexington, KY 40536-0284
Phone (859) 323-1345

740 S Limestone
E214
Lexington, KY 40536-0001
Phone (859) 323-3368

770 Rose St
Mn328
Lexington, KY 40536-0001
Phone (859) 323-8873

800 Rose St
Lexington, KY 40536-0001
Phone (859) 257-8562

800 Rose St
Lexington, KY 40536-7001
Phone (859) 257-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.76 of 100Reported as group
Quality
78.19
Promoting interoperability
100
Improvement activities
40
Cost
70.17

Merit-based Incentive Payment System (MIPS)

Final score
44.67 of 100Reported as group
Quality
19.32
Promoting interoperability
0
Improvement activities
40
Cost
79.59

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA2600KYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Neurosurgical Associates PSC Current Accepting new patients
University of Kentucky CurrentSince Jan 8, 2024 Accepting new patients

Locations

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

Interoperability endpoints

  • Direct secure messaging: jonathanculler@kysjhspe.allscriptsdirect.net

Organizations & group practices 2

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 2

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": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1700347127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 HARRODSBURG RD STE A540",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405041720",
            "telephone_number": "859-258-6760",
            "fax_number": "859-258-6512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 HARRODSBURG RD STE A540",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405041720",
            "telephone_number": "859-258-6760",
            "fax_number": "859-258-6512"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Graydon Ave Apt A",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235071621",
            "country_code": "US",
            "telephone_number": "859-317-3541",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "740 S Limestone",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405361720",
            "country_code": "US",
            "telephone_number": "859-323-5661",
            "fax_number": "859-323-6411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CULLER",
        "first_name": "JONATHAN",
        "middle_name": "DAVID",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-28",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "PA2600",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "KY",
            "license": "PA2600",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA2600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.