Individual provider Active NPI

Ally Lancaster, APRN

  • Family Nurse Practitioner
  • Elizabethtown, KY
National Provider Identifier
1821883422
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4042564 Issued in KY
Practice address
1107 Crown Pointe Dr Ste 107
Elizabethtown, KY 42701-7280
Phone
(270) 506-3300
NPI assigned
Apr 14, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4042564 KY Primary
Registered Nurse 163W00000X 1164880 KY

Addresses

Primary practice location

1107 Crown Pointe Dr Ste 107
Elizabethtown, KY 42701-7280

Mailing address

PO Box 21890
Belfast, ME 04915-4115
Phone (502) 907-0356

Other practice location 1

17 Red Wing Rd
Brandenburg, KY 40108-9548
Phone (270) 980-0038

Other practice location 2

1216 N Race St
Glasgow, KY 42141-3462
Phone (270) 745-7246

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
I20250801000390 KY Practitioner - Nurse Practitioner 4183132160 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Commonwealth Pain Associates PLLCGroup PAC ID 0941441919, 156 clinicians

Practice addresses (Care Compare)

1107 Crown Pointe Dr
Suite 107
Elizabethtown, KY 42701-7280
Phone (270) 506-3300

Hospital & facility affiliations

  • Baptist Health Hardin Hospital, Elizabethtown, KY, CCN 180012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1164880KYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Pain Associates, PLLC Family CurrentSince Aug 1, 2025 Accepting new patients
Commonwealth Pain Associates PLLC CurrentSince Aug 1, 2025 Accepting new patients

Locations

120 Executive Park
St Matthews, KY 40207
Phone (502) 409-9925

Interoperability endpoints

  • Direct secure messaging: ally.lancaster.1@16521.direct.athenahealth.com

Organizations & group practices 2

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 1

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": "1744588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1821883422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21890",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154115",
            "telephone_number": "502-907-0356",
            "fax_number": "502-919-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 CROWN POINTE DR STE 107",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427017280",
            "telephone_number": "270-506-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 Red Wing Rd",
            "address_purpose": "LOCATION",
            "city": "Brandenburg",
            "state": "KY",
            "postal_code": "401089548",
            "country_code": "US",
            "telephone_number": "270-980-0038",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1216 N Race St",
            "address_purpose": "LOCATION",
            "city": "Glasgow",
            "state": "KY",
            "postal_code": "421413462",
            "country_code": "US",
            "telephone_number": "270-745-7246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANCASTER",
        "first_name": "ALLY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-14",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4042564",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1164880",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

Verify at the official NPI Registry.