Individual provider Active NPI

Autumn Brooke Schneider, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Paris, KY
National Provider Identifier
1811538218
Registry record updated Dec 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3013923 Issued in KY
Practice address
24 Clinic Dr Ste a
Paris, KY 40361-2166
Phone
(859) 987-0302
NPI assigned
Oct 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2022

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 3013923 KY Primary

Addresses

Primary practice location

24 Clinic Dr Ste a
Paris, KY 40361-2166

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
7100630540MedicaidKY

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
I20200527002890 KY Practitioner - Nurse Practitioner 6305267618 Reassigns benefits to 2 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
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

2716 Old Rosebud Rd
Suite 351
Lexington, KY 40509-8003
Phone (859) 245-6671

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Jan 1, 2023 Accepting new patients
Madison Primary Care, LLC Family CurrentSince Apr 20, 2020 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jan 1, 2023 Accepting new patients
Primary Care of the Bluegrass, LLC CurrentSince Apr 20, 2020 Accepting new patients
Baptist Health Medical Group Inc Current Accepting new patients
Cardiology Associates of Lexington PastSince Jul 31, 2022 Accepting new patients
Saint Joseph Health System, Inc. Past Accepting new patients

Locations

29 Main St
Crab Orchard, KY 40419
Phone (606) 355-7300

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

1031 Wellington Way
Ste 245
Lexington, KY 40513
Phone (714) 393-5840

2716 Old Rosebud Rd
Ste 351
Lexington, KY 40509
Phone (859) 240-2109

2628 Wilhite Ct
Lexington, KY 40503
Phone (859) 278-0096

1031 Wellington Way
Ste 240
Lexington, KY 40513

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

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

206 Wayne Dr
#B
Richmond, KY 40475
Phone (859) 623-3780

174 Pedro Way
Winchester, KY 40391
Phone (859) 355-5653

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 2

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": "1570406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672444800000",
    "number": "1811538218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 CLINIC DR STE 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 STE A",
            "city": "PARIS",
            "state": "KY",
            "postal_code": "403612166",
            "telephone_number": "859-987-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "AUTUMN",
        "middle_name": "BROOKE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-07",
        "last_updated": "2022-12-31",
        "certification_date": "2022-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3013923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100630540",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, KY

Sources for this page

Verify at the official NPI Registry.