NPIMap

Individual provider Active NPI

Charlotte Elizabeth Wiemann, M.D.

  • Internal Medicine Physician
  • Lexington, KY
National Provider Identifier
1861755811
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
54413 Issued in KY
Practice address
1733 Harrodsburg Rd
Lexington, KY 40504-3277
Phone
(859) 278-4869
Fax
(859) 278-7690
NPI assigned
Jun 24, 2012
Last updated
Jan 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 54413 KY Primary

Addresses

Primary practice location

1733 Harrodsburg Rd
Lexington, KY 40504-3277

Mailing address

1733 Harrodsburg Rd
Lexington, KY 40504-3277
Phone (859) 278-4869

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201008000893 KY Practitioner - Hospice/Palliative Care 8527347004 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospice/Palliative Care
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palliative Care Center of the Bluegrass Inc.Group PAC ID 8820981731, 21 clinicians

Practice addresses (Care Compare)

1733 Harrodsburg Rd
Lexington, KY 40504-3617
Phone (859) 276-5344

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Palliative Care Center of the Bluegrass Inc. Hospice and Palliative Medicine CurrentSince Sep 17, 2020 Accepting new patients
Trilogy Healthcare of Fayette II LLC Past Accepting new patients
Trilogy Healthcare of Fayette I, LLC Past Accepting new patients
Trilogy Healthcare of Fayette III, LLC Past Accepting new patients

Locations

1733 Harrodsburg Rd
Lexington, KY 40504
Phone (859) 276-5344

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The Willows at CitationLexington, KY, CCN 185474 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Oct 1, 2025
Nov 4, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 6

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": "1340496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1861755811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1733 HARRODSBURG RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043277",
            "telephone_number": "859-278-4869",
            "fax_number": "859-278-7690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1733 HARRODSBURG RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043277",
            "telephone_number": "859-278-4869",
            "fax_number": "859-278-7690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEMANN",
        "first_name": "CHARLOTTE",
        "middle_name": "ELIZABETH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-24",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "54413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.