NPIMap

Individual provider Active NPI

Cristen Kelly Combs Waespe, M.D.

  • Cardiovascular Disease Physician
  • Paris, KY
National Provider Identifier
1750510210
Registry record updated May 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
45064 Issued in KY
Practice address
24 Clinic Dr
Suite a
Paris, KY 40361-2166
Phone
(859) 987-0302
NPI assigned
Jul 6, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 45064 KY
Cardiovascular Disease Physician 207RC0000X 45064 KY Primary

Addresses

Primary practice location

24 Clinic Dr
Suite a
Paris, KY 40361-2166

Mailing address

24 Clinic Dr
Suite a
Paris, KY 40361-2166
Phone (859) 987-0302

Other identifiers 1

IdentifierTypeStateIssuer
7100424330MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160927001477 KY Practitioner - Cardiovascular Disease (Cardiology) 3779870233 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Kentucky College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

115 Crossfield Dr
Versailles, KY 40383-1845
Phone (859) 277-5887

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
45064KYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Apr 27, 2021 Accepting new patients
Baptist Health Medical Group Inc Current Accepting new patients
Baptist Health Medical Group Inc CurrentSince Dec 1, 2022 Accepting new patients
Hospital Medicine Services of Tennessee PC CurrentSince Jan 1, 2022 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Dec 1, 2022 Accepting new patients
Cardiology Associates of Lexington Cardiovascular Disease PastSince Sep 1, 2016 Accepting new patients
Baptist Health Medical Group Inc Emergency Medicine Past Accepting new patients

Locations

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

1140 Lexington Rd
Georgetown, KY 40324
Phone (502) 868-1100

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

24 Clinic Dr
Paris, KY 40361
Phone (859) 987-0302

9 Linville Dr
Paris, KY 40361
Phone (859) 987-3600

24 Clinic Dr
Ste A
Paris, KY 40361
Phone (859) 987-0302

360 Amsden Ave
Versailles, KY 40383
Phone (606) 873-3111

115 Crossfield Dr
Versailles, KY 40383
Phone (502) 223-7403

126 Professional Ave
Winchester, KY 40391
Phone (859) 737-3994

Organizations & group practices 7

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 4

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": "1246838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620000000000",
    "number": "1750510210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 CLINIC DR",
            "address_2": "SUITE A",
            "city": "PARIS",
            "state": "KY",
            "postal_code": "403612166",
            "telephone_number": "859-987-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 CLINIC DR",
            "address_2": "SUITE A",
            "city": "PARIS",
            "state": "KY",
            "postal_code": "403612166",
            "telephone_number": "859-987-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAESPE",
        "first_name": "CRISTEN",
        "middle_name": "KELLY COMBS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-06",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "45064",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KY",
            "license": "45064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100424330",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, KY

Sources for this page

Verify at the official NPI Registry.