Individual provider Active NPI

Allison Rae Collins, PA-C

  • Physician Assistant
  • Shepherdsville, KY
National Provider Identifier
1720811607
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA3540 Issued in KY
Practice address
115 Huston Dr Ste 5
Shepherdsville, KY 40165-7250
Phone
(502) 636-0574
NPI assigned
Aug 26, 2024
Last updated
Sep 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X TC021 KY
Physician Assistant 363A00000X PA3540 KY Primary

Addresses

Primary practice location

115 Huston Dr Ste 5
Shepherdsville, KY 40165-7250

Mailing address

115 Huston Dr Ste 5
Shepherdsville, KY 40165-7250
Phone (502) 636-0574

Other names 1

  • Allison Henderson Former name

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
I20241010002765 KY Practitioner - Physician Assistant 7911439385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians

Practice addresses (Care Compare)

210 E Gray St
Suite 802
Louisville, KY 40202-3904
Phone (502) 290-7575

825 Barret Ave
Louisville, KY 40204-1743
Phone (502) 272-5165

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA3540KYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. CurrentSince Oct 1, 2024 Accepting new patients
Community Medical Associates, Inc. Physician Assistant CurrentSince Oct 1, 2024 Accepting new patients
Community Medical Associates, Inc. Physician Assistant Past Accepting new patients

Locations

210 E Gray St
Ste 802
Louisville, KY 40202
Phone (502) 290-7575

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

210 E Gray St
Ste 900
Louisville, KY 40202
Phone (502) 584-8002

4123 Dutchmans Ln
Ste 500
Louisville, KY 40207
Phone (502) 894-9494

1000 DuPont Rd
Ste A
Louisville, KY 40207
Phone (502) 899-6150

115 Huston Dr
Ste 5
Shepherdsville, KY 40165
Phone (502) 636-0574

Interoperability endpoints

  • Direct secure messaging: ahenderson299791@direct.nortonhealthcare.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1720811607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 HUSTON DR STE 5",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401657250",
            "telephone_number": "502-636-0574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 HUSTON DR STE 5",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401657250",
            "telephone_number": "502-636-0574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "ALLISON",
        "middle_name": "RAE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-26",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "KY",
            "license": "TC021",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA3540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLISON",
            "last_name": "HENDERSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shepherdsville, KY

Sources for this page

Verify at the official NPI Registry.