Melissa Blair Whitaker, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA1130 Issued in KY

Practice address

2616 Legends Way
Crestview Hills, KY 41017

Phone

(859) 331-3100

NPI assigned

Jul 25, 2008

Last updated

May 23, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Mrs. Blair Whitaker Professional name

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

Specialty

Physician Assistant

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lake Cumberland Rheumatology PLLCGroup PAC ID 0446309058, 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Owensboro Health Regional Hospital Hospital, Owensboro, KY, CCN 180038

Merit-based Incentive Payment System (MIPS)

Final score

98.25 of 100Reported as group

Quality

96.82

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: blair.whitaker.p1@direct.lcr.nextgenshare.com
• Direct secure messaging: mwhitaker251128@direct-prd.stelizabeth.com

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.

• Lake Cumberland Rheumatology, PLLC

  • Rheumatology Physician
  • New Albany, IN
  • NPI 1619117058

  KY

  Medicare reassignment Care Compare group
• Tristate Arthritis & Rheumatology PSC

  • Rheumatology Physician
  • Crestview Hills, KY
  • NPI 1851449425
  Medicare reassignment
• Lake Cumberland Rheumatology, PLLC

  • Clinical Medical Laboratory
  • Somerset, KY
  • NPI 1225991177
  NPD
• First Stop Urgent Care Broadway PSC

  • Family Medicine Physician
  • Louisville, KY
  • NPI 1104132687

  Physician Assistant

  NPD (past)
• First Stop Urgent Care Dupont PSC

  • Family Medicine Physician
  • Louisville, KY
  • NPI 1740501931

  Physician Assistant

  NPD (past)
• James Moss PLLC

  • Family Medicine Physician
  • Elizabethtown, KY
  • NPI 1932492733
  NPD (past)
• Kentuckyone Health Medical Group, Inc.

  dba CHI Saint Joseph Medical Group

  • Family Medicine Physician
  • Lexington, KY
  • NPI 1104875970

  Physician Assistant

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Owensboro Health Inc

  dba Owensboro Health Regional Hospital

  • General Acute Care Hospital
  • Owensboro, KY
  • NPI 1285613612
  Care Compare affiliation

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

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527033600000",
    "number": "1790940146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 LEGENDS WAY",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410172418",
            "telephone_number": "859-331-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 LEGENDS WAY",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "41017",
            "telephone_number": "859-331-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITAKER",
        "first_name": "MELISSA",
        "middle_name": "BLAIR",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-25",
        "last_updated": "2018-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10001781A",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "008619",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA1130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA",
            "identifier": "1081470",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BLAIR",
            "last_name": "WHITAKER",
            "prefix": "MRS.",
            "credential": "PA-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Karen K Wells, P.T.
• Robert D. Wells, PH.D.
• Barry J Wendt, MD
• Griffin Werth
• Elizabeth Hannah Wertz, PSYD
• Kelly Wiechart, DMD
• Katherine Lynn Wilhelm
• William Yoder DMD PLLC
• James D Williams, MD
• William C. Willmott, MD

• Physician Assistant in Crestview Hills, KY
• Providers in Crestview Hills, KY by specialty
• Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.