Individual provider Active NPI

Angela Quincy, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Nicholasville, KY
National Provider Identifier
1841068905
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4012655 Issued in KY
Practice address
506 N Main St
Nicholasville, KY 40356-1134
Phone
(833) 510-4357
Fax
(866) 460-2997
NPI assigned
Dec 18, 2023
Last updated
Sep 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4012655 KY Primary

Addresses

Primary practice location

506 N Main St
Nicholasville, KY 40356-1134

Mailing address

4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600
Phone (833) 510-4357

Other practice location 1

1350 Bull Lea Rd
Lexington, KY 40511-1247
Phone (859) 246-8000

Other practice location 2

905 Sunny Slope Trce
Lexington, KY 40514-1781
Phone (502) 320-3363

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
I20240125001041 KY Practitioner - Nurse Practitioner 0143673277 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4012655KYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Primary Care PLLC CurrentSince Jan 1, 2024 Accepting new patients
Healthy Living Primary Care CurrentSince Jan 1, 2024 Accepting new patients
University of Kentucky CurrentSince Oct 15, 2025 Accepting new patients

Locations

6520 W Highway 22
Crestwood, KY 40014
Phone (502) 241-8488

1350 Bull Lea Rd
Lexington, KY 40511
Phone (859) 246-7363

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

4400 Breckenridge Ln
Ste 147
Louisville, KY 40218
Phone (502) 708-1904

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, 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": "1702857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1841068905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MONTGOMERY RD STE 400",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122600",
            "telephone_number": "833-510-4357",
            "fax_number": "866-460-2997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 N MAIN ST",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403561134",
            "telephone_number": "833-510-4357",
            "fax_number": "866-460-2997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1350 Bull Lea Rd",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405111247",
            "country_code": "US",
            "telephone_number": "859-246-8000",
            "fax_number": "859-246-8032",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "905 Sunny Slope Trce",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405141781",
            "country_code": "US",
            "telephone_number": "502-320-3363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUINCY",
        "first_name": "ANGELA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-18",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "4012655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nicholasville, KY

Sources for this page

Verify at the official NPI Registry.