Individual provider Active NPI

Andrea Nicole Neace

  • Psychiatric/Mental Health Nurse Practitioner
  • Richmond, KY
National Provider Identifier
1730901414
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4011624 Issued in KY
Practice address
1012 Center Dr
Richmond, KY 40475-3838
Phone
(859) 626-9696
NPI assigned
Oct 24, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4011624 KY Primary
Family Nurse Practitioner 363LF0000X 4011624 KY

Addresses

Primary practice location

1012 Center Dr
Richmond, KY 40475-3838

Mailing address

252 W Rice LN
Richmond, KY 40475-9605
Phone (606) 568-8806

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
I20250220000476 KY Practitioner - Nurse Practitioner 3173043213 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Health Care Clinic PSCGroup PAC ID 7214927268, 8 clinicians

Practice addresses (Care Compare)

1012 Ctr Dr
Richmond, KY 40475-3838
Phone (859) 626-9694

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4011624KYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster Family Health Care CurrentSince Dec 5, 2024 Accepting new patients
Family Health Care Clinic PSC Family CurrentSince Dec 5, 2024 Accepting new patients
Family Practice Clinic of Booneville, Inc. CurrentSince Dec 5, 2024 Accepting new patients
Mountain Family Practice Clinic of Manchester Inc CurrentSince Dec 5, 2024 Accepting new patients

Locations

200 Mulberry St
#A
Booneville, KY 41314
Phone (606) 596-0701

108 Lexington St
Lancaster, KY 40444
Phone (859) 304-5258

108 Manchester Shopping Ctr
Manchester, KY 40962
Phone (606) 596-0701

1012 Center Dr
Richmond, KY 40475
Phone (859) 626-9694

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3044/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1729728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1730901414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 W RICE LN",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404759605",
            "telephone_number": "606-568-8806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 CENTER DR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404753838",
            "telephone_number": "859-626-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEACE",
        "first_name": "ANDREA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-24",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "4011624",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4011624",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, KY

Sources for this page

Verify at the official NPI Registry.