Individual provider Active NPI

Micah Buckel, P.A.-C

  • Medical Physician Assistant
  • Lexington, KY
National Provider Identifier
1902200413
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
TC334 Issued in KY
Practice address
2101 Nicholasville Rd
Suite 106
Lexington, KY 40503-2517
Phone
(859) 278-5926
NPI assigned
Oct 13, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X TC334 KY Primary

Addresses

Primary practice location

2101 Nicholasville Rd
Suite 106
Lexington, KY 40503-2517

Mailing address

2101 Nicholasville Road
Lexington, KY 40503-2517

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mbuckel27606@bhkydirect.com

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
I20141218000094 KY Practitioner - Physician Assistant 2365765609 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, shared by 31 NPIs, 2,431 clinicians

Practice addresses (Care Compare)

1099 Duval St
Suite 100
Lexington, KY 40515-6490
Phone (859) 273-3888

1720 Nicholasville Rd
Suite 400
Lexington, KY 40503-1475
Phone (859) 277-5887

4071 Tates Creek Centre Dr
Suite 202
Lexington, KY 40517-3094
Phone (859) 260-4390

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

State licenses

LicenseStateTypeSpecialty
TC334KYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince May 20, 2025 Accepting new patients
Baptist Health Medical Group Inc CurrentSince May 14, 2018 Accepting new patients
Baptist Health Medical Group Inc CurrentSince May 14, 2018 Accepting new patients

Locations

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

96 Future Dr
Corbin, KY 40701

2108 Nicholasville Rd
Fl 2
Lexington, KY 40503
Phone (859) 278-9413

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

Interoperability endpoints

  • Direct secure messaging: mbuckel27606@bhkydirect.com

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 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": "1413158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1902200413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 NICHOLASVILLE ROAD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 NICHOLASVILLE RD",
            "address_2": "SUITE 106",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032517",
            "telephone_number": "859-278-5926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKEL",
        "first_name": "MICAH",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-13",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "TC334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbuckel27606@bhkydirect.com",
            "affiliation": "N",
            "address_1": "2108 Nicholasville Rd Fl 2",
            "city": "Lexington",
            "state": "KY",
            "country_code": "US",
            "postal_code": "405032502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.