Active NPI
Wilson Bradley Fugate, APRN
- Family Nurse Practitioner
- Lexington, KY
National Provider Identifier
1730739483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3012571
- Practice address
- 1720 Nicholasville Rd Ste 601
Lexington, KY 40503-1451 - Phone
- (859) 277-5887
- Fax
- (859) 276-7659
- NPI assigned
- Sep 16, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3012571 | KY | Primary |
Addresses
Primary practice location
1720 Nicholasville Rd Ste 601
Lexington, KY 40503-1451
Mailing address
5200 Commerce Crossing, 3Rd Floor
Louisville, KY 40229-2182
Phone (502) 253-4924
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | wfugate13930@bhkydirect.com |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
105 Ponder CT
Suite 104
Danville, KY 40422-9050
Phone (859) 236-4216
110 Metker TRL
Stanford, KY 40484-1020
Phone (606) 365-4600
464 Linden Ave
Harrodsburg, KY 40330-1882
Phone (859) 734-5441
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.36 of 100
- Quality
- 64.78
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 67.25
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ephraim McDowell Health Resource, Inc | Family | Current | Accepting new patients |
| Ephraim McDowell Health Resource, Inc | Family | Current | Accepting new patients |
| Ephraim McDowell Health Resource, Inc. | Family | Current | Accepting new patients |
| Ephraim McDowell Regional Medical Center Incorporated | Past | Accepting new patients |
Locations
109 Daniel Dr
Danville, KY 40422
Phone (859) 236-3361
105 Ponder Ct
Ste 104
Danville, KY 40422
Phone (859) 236-4216
1720 Nicholasville Rd
Ste 601
Lexington, KY 40503
Phone (859) 971-4652
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.
-
- Family Medicine Physician
- Danville, KY
- NPI 1487708533
-
- Endocrinology, Diabetes & Metabolism Physician
- Danville, KY
- NPI 1174484463
Family
-
- Family Medicine Physician
- Danville, KY
- NPI 1669803375
-
- Family Medicine Physician
- Liberty, KY
- NPI 1689729832
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Stanford, KY
- NPI 1932254265
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607644800000",
"number": "1730739483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 COMMERCE CROSSING, 3RD FLOOR",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402292182",
"telephone_number": "502-253-4924",
"fax_number": "502-489-5750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 NICHOLASVILLE RD STE 601",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405031451",
"telephone_number": "859-277-5887",
"fax_number": "859-276-7659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUGATE",
"first_name": "WILSON",
"middle_name": "BRADLEY",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-09-16",
"last_updated": "2020-12-11",
"certification_date": "2020-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3012571",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "wfugate13930@bhkydirect.com",
"affiliation": "N",
"address_1": "1720 Nicholasville Rd Ste 400",
"city": "Lexington",
"state": "KY",
"country_code": "US",
"postal_code": "405031475",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.