Individual provider Active NPI

Mandi K Tomazic, APRN

  • Family Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1740812908
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3014280 Issued in KY
Practice address
101 Prosperous PL Ste 300
Lexington, KY 40509-1836
Phone
(859) 275-5229
Fax
(859) 977-2683
NPI assigned
Feb 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3014280 KY
Family Nurse Practitioner 363LF0000X 3014280 KY Primary

Addresses

Primary practice location

101 Prosperous PL Ste 300
Lexington, KY 40509-1836

Mailing address

101 Prosperous PL Ste 300
Lexington, KY 40509-1836
Phone (859) 275-5229

Other practice location 1

4071 Tates Creek Centre Dr
Lexington, KY 40517-3062
Phone (859) 209-2423

Other practice location 2

2452 Sir Barton Way Ste 303
Lexington, KY 40509-2549
Phone (859) 340-3233

Other practice location 3

110 Diagnostic Dr
Frankfort, KY 40601-6557
Phone (859) 385-2169

Other identifiers 1

IdentifierTypeStateIssuer
7100651400MedicaidKY

Other names 1

  • Mandi Kay Williams 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
I20200316002459 KY Practitioner - Nurse Practitioner 7214365717 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vpa PCGroup PAC ID 9234041948, 181 clinicians
Proactive Therapy, IncGroup PAC ID 0143245415, 118 clinicians
Commonwealth Pain Associates PLLCGroup PAC ID 0941441919, 156 clinicians

Practice addresses (Care Compare)

Lexington, KY 40509
Phone (859) 340-3233

1004 Leawood Dr
Frankfort, KY 40601-3349
Phone (502) 223-7403

101 Prosperous PL
Suite 300
Lexington, KY 40509-1836
Phone (859) 275-5229

Hospital & facility affiliations

  • Frankfort Regional Medical Center Hospital, Frankfort, KY, CCN 180127

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Pain Associates PLLC CurrentSince Oct 2, 2025 Accepting new patients
Commonwealth Pain Associates, PLLC Nurse Practitioner CurrentSince Oct 2, 2025 Accepting new patients
Vpa PC Family CurrentSince Jun 7, 2024 Accepting new patients
Kiosk Medicine Kentucky LLC Family CurrentSince Mar 24, 2021 Accepting new patients
Vpa PC CurrentSince Jun 7, 2024 Accepting new patients
Fast Pace Kentucky, PLLC CurrentSince Mar 1, 2021 Accepting new patients
Fast Pace Kentucky PLLC Family CurrentSince Mar 1, 2021 Accepting new patients

Locations

110 S 2nd St
Central City, KY 42330
Phone (270) 931-2059

320 Thomas More Pkwy
Ste 202
Crestview Hills, KY 41017
Phone (513) 624-7246

110 Diagnostic Dr
Frankfort, KY 40601
Phone (502) 223-7186

1475 Nashville Rd
Franklin, KY 42134
Phone (270) 813-1111

1000 W Park Dr
Lawrenceburg, KY 40342
Phone (502) 353-3417

2452 Sir Barton Way
Ste 303
Lexington, KY 40509
Phone (859) 340-3233

101 Prosperous Pl
Ste 300
Lexington, KY 40509
Phone (859) 271-3114

3101 Richmond Rd
Lexington, KY 40509
Phone (859) 268-9866

3175 Beaumont Centre Cir
Lexington, KY 40513
Phone (859) 219-1842

100 London Mountain View Dr
Fl 1
London, KY 40741
Phone (859) 275-5229

3039 Breckenridge Ln
Louisville, KY 40220
Phone (502) 451-4555

120 Executive Park
St Matthews, KY 40207
Phone (502) 409-9925

Interoperability endpoints

  • Direct secure messaging: mandi.tomazic.1@16521.direct.athenahealth.com

Organizations & group practices 8

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 1

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": "1580947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1740812908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PROSPEROUS PL STE 300",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091836",
            "telephone_number": "859-275-5229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PROSPEROUS PL STE 300",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091836",
            "telephone_number": "859-275-5229",
            "fax_number": "859-977-2683"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4071 Tates Creek Centre Dr",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405173062",
            "country_code": "US",
            "telephone_number": "859-209-2423",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2452 Sir Barton Way Ste 303",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405092549",
            "country_code": "US",
            "telephone_number": "859-340-3233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 Diagnostic Dr",
            "address_purpose": "LOCATION",
            "city": "Frankfort",
            "state": "KY",
            "postal_code": "406016557",
            "country_code": "US",
            "telephone_number": "859-385-2169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOMAZIC",
        "first_name": "MANDI",
        "middle_name": "K",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-06",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3014280",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3014280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100651400",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANDI",
            "last_name": "WILLIAMS",
            "middle_name": "KAY",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.