Individual provider Active NPI

Kendra Sue McClellan, ACNPC-AG

  • Gerontology Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1861169732
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
3016493 Issued in KY
Practice address
1050 Monarch St Ste 300
Lexington, KY 40513-1877
Phone
(859) 286-9951
Fax
(859) 233-3304
NPI assigned
Aug 27, 2021
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LG0600X 3016493 KY Primary

Addresses

Primary practice location

1050 Monarch St Ste 300
Lexington, KY 40513-1877

Mailing address

126 Old Post Rd
Paris, KY 40361-2713
Phone (859) 200-2173

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
I20211020003144 KY Practitioner - Nurse Practitioner 0446648679 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
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)

1720 Nicholasville Rd
Suite 601
Lexington, KY 40503-1451
Phone (859) 277-5887

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Davanand Doodnauth,M.D., PSC Multi-Specialty CurrentSince Sep 1, 2021 Accepting new patients
Caremed Health Solutions of Kentucky, LLC Multi-Specialty CurrentSince Nov 1, 2023 Accepting new patients
Baptist Health Medical Group Inc Multi-Specialty CurrentSince Feb 1, 2026 Accepting new patients
Baptist Health Medical Group Inc Multi-Specialty CurrentSince Feb 1, 2026 Accepting new patients

Locations

1820 Oakview Rd
Ashland, KY 41101
Phone (606) 325-5200

1 Saint Joseph Dr
Lexington, KY 40504
Phone (502) 350-5000

1050 Monarch St
Ste 300
Lexington, KY 40513
Phone (859) 286-9951

1720 Nicholasville Rd
Ste 601
Lexington, KY 40503
Phone (859) 971-4652

620 Parker Rd
Maysville, KY 41056
Phone (606) 564-4085

65 Ramapo Valley Rd
Ste 102B
Mahwah, NJ 07430
Phone (732) 300-0833

300 Tice Blvd
Ste 175
Woodcliff Lake, NJ 07677

Organizations & group practices 4

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.

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": "1630022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1861169732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 OLD POST RD",
            "city": "PARIS",
            "state": "KY",
            "postal_code": "403612713",
            "telephone_number": "859-200-2173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 MONARCH ST STE 300",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131877",
            "telephone_number": "859-286-9951",
            "fax_number": "859-233-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLELLAN",
        "first_name": "KENDRA",
        "middle_name": "SUE",
        "credential": "ACNPC-AG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-27",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "KY",
            "license": "3016493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.