Individual provider Active NPI

Elizabeth Vickers, APRN

  • Family Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1760979041
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3012283 Issued in KY
Practice address
2444 Harrodsburg Rd
Lexington, KY 40503-2162
Phone
(859) 258-6950
Fax
(859) 258-6995
NPI assigned
Apr 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3012283 KY Primary

Addresses

Primary practice location

2444 Harrodsburg Rd
Lexington, KY 40503-2162

Mailing address

1221 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-4361

Other identifiers 1

IdentifierTypeStateIssuer
7100530400MedicaidKY

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
I20180517001025 KY Practitioner - Nurse Practitioner 6002171220 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New Lexington Clinic PSCGroup PAC ID 3476457532, 329 clinicians

Practice addresses (Care Compare)

1221 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-4000

Hospital & facility affiliations

  • Saint Joseph Hospital Hospital, Lexington, KY, CCN 180010
  • Baptist Health Lexington Hospital, Lexington, KY, CCN 180103

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New Lexington Clinic PSC CurrentSince Jul 12, 2021 Accepting new patients
New Lexington Clinic, PSC CurrentSince Jul 12, 2021 Accepting new patients
Kiosk Medicine Kentucky LLC Family CurrentSince Apr 24, 2018 Accepting new patients

Locations

200 Skywatch Dr
Danville, KY 40422
Phone (859) 236-0408

1221 S Broadway
Lexington, KY 40504
Phone (859) 258-4181

2444 Harrodsburg Rd
Lexington, KY 40503
Phone (859) 258-6950

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

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

Interoperability endpoints

  • Direct secure messaging: elizabeth.vickers.1@13059.direct.athenahealth.com

Organizations & group practices 3

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": "1524355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1760979041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 S BROADWAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405042701",
            "telephone_number": "859-258-4361",
            "fax_number": "859-258-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2444 HARRODSBURG RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032162",
            "telephone_number": "859-258-6950",
            "fax_number": "859-258-6995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICKERS",
        "first_name": "ELIZABETH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-22",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3012283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100530400",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.