Individual provider Active NPI

Paige Nicole Farrell, NP

  • Family Nurse Practitioner
  • Walton, KY
National Provider Identifier
1760264154
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4010081 Issued in KY
Practice address
635 Chestnut Dr
Walton, KY 41094-7841
Phone
(859) 379-0040
NPI assigned
Oct 19, 2023
Last updated
Mar 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0035116 OH
Family Nurse Practitioner 363LF0000X 4010081 KY Primary
Registered Nurse 163W00000X RN.515688 OH
Registered Nurse 163W00000X 1166390 KY

Addresses

Primary practice location

635 Chestnut Dr
Walton, KY 41094-7841

Mailing address

2620 Elm Hill Pike
Nashville, TN 37214-3108

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
I20231106003338 KY Practitioner - Nurse Practitioner 7810344389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kiosk Medicine Kentucky LLCGroup PAC ID 6002887510, 169 clinicians

Practice addresses (Care Compare)

375 Cross Roads Blvd
Cold Spring, KY 41076-2202
Phone (859) 448-1201

Merit-based Incentive Payment System (MIPS)

Final score
83.72 of 100Reported as group
Quality
66.02
Promoting interoperability
100
Improvement activities
40
Cost
79.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1166390KYMDRegistered Nurse
RN.515688OHMDRegistered Nurse
4010081KYMDFamily Nurse Practitioner
APRN.CNP.0035116OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kiosk Medicine Kentucky LLC Family CurrentSince Nov 13, 2023 Accepting new patients

Locations

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

130 Pavilion Pkwy
Newport, KY 41071
Phone (859) 292-5680

375 Cross Roads Blvd
Newport, KY 41076
Phone (859) 448-1170

635 Chestnut Dr
Walton, KY 41094
Phone (859) 379-0030

Interoperability endpoints

  • Direct secure messaging: paige.farrell@krogerhealth.eclinicaldirectplus.com

Organizations & group practices 1

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": "1697673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1760264154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 ELM HILL PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 CHESTNUT DR",
            "city": "WALTON",
            "state": "KY",
            "postal_code": "410947841",
            "telephone_number": "859-379-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRELL",
        "first_name": "PAIGE",
        "middle_name": "NICOLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-19",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0035116",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4010081",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.515688",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1166390",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walton, KY

Sources for this page

Verify at the official NPI Registry.