Individual provider Active NPI

Evan F Henson, P.A.-C.

  • Physician Assistant
  • Lexington, KY
National Provider Identifier
1972891927
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA1988 Issued in KY
Practice address
1868 Plaudit PL
Lexington, KY 40509-2429
Phone
(859) 263-5140
NPI assigned
Jul 12, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085-004241 IL
Physician Assistant 363A00000X TC363 KY
Physician Assistant 363A00000X PA1988 KY Primary

Addresses

Primary practice location

1868 Plaudit PL
Lexington, KY 40509-2429

Mailing address

3480 Yorkshire Medical Park
Lexington, KY 40509-1886
Phone (859) 263-5140

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
I20150312002302 KY Practitioner - Physician Assistant 7719152586 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bluegrass Orthopaedics PSCGroup PAC ID 4789988981, 62 clinicians
H2 Rehabilitation Services of Kentucky, LLCGroup PAC ID 5799682688, shared by 7 NPIs, 187 clinicians

Practice addresses (Care Compare)

101 Windsor Path
Georgetown, KY 40324-9617
Phone (859) 263-5140

116 Meridian Way
Richmond, KY 40475-2876
Phone (859) 623-6334

193 Glades Rd
Berea, KY 40403-2261
Phone (859) 956-1055

3480 Yorkshire Medical Park
Lexington, KY 40509-1886
Phone (859) 263-5140

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
24.77 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
82.55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085-004241ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bluegrass Orthopaedics PSC Physician Assistant CurrentSince Apr 12, 2016 Accepting new patients

Locations

101 Windsor Path
#1
Georgetown, KY 40324

101 Windsor Path
Georgetown, KY 40324
Phone (502) 868-6106

1868 Plaudit Pl
Lexington, KY 40509
Phone (859) 543-0002

3480 Yorkshire Medical Park
Lexington, KY 40509
Phone (859) 303-8803

3480 Yorkshire Medical Park
#100
Lexington, KY 40509
Phone (859) 514-0260

850 Hail Knob Rd
#B
Somerset, KY 42503
Phone (270) 318-3399

Organizations & group practices 1

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": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1972891927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3480 YORKSHIRE MEDICAL PARK",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091886",
            "telephone_number": "859-263-5140",
            "fax_number": "859-263-5141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1868 PLAUDIT PL",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092429",
            "telephone_number": "859-263-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSON",
        "first_name": "EVAN",
        "middle_name": "F",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085-004241",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "TC363",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA1988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.