Active NPI
Karen M. Hillenmeyer, P.A.-C.
- Surgical Physician Assistant
- Lexington, KY
National Provider Identifier
1992702310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA051
- Practice address
- 160 N Eagle Creek Dr Ste 201
Lexington, KY 40509-2125 - Phone
- (859) 967-5520
- Fax
- (859) 964-5444
- NPI assigned
- Jun 30, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA051 | KY | Primary |
Addresses
Primary practice location
160 N Eagle Creek Dr Ste 201
Lexington, KY 40509-2125
Mailing address
PO Box 936
London, KY 40743-0936
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100428190 | Medicaid | KY | |
| CJ2601 | Other | KY | RAILROAD MEDICARE |
| CN8331 | Other | KY | RAILROAD MEDICARE |
| CJ7805 | Other | KY | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- khillenmeyer274138@direct.stlukeshealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629849600000",
"number": "1992702310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 936",
"city": "LONDON",
"state": "KY",
"postal_code": "407430936",
"fax_number": "606-330-7825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 N EAGLE CREEK DR STE 201",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405092125",
"telephone_number": "859-967-5520",
"fax_number": "859-964-5444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILLENMEYER",
"first_name": "KAREN",
"middle_name": "M.",
"name_prefix": "Mrs.",
"credential": "P.A.-C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-30",
"last_updated": "2021-08-25",
"certification_date": "2021-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "KY",
"license": "PA051",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100428190",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CJ2601",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CN8331",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CJ7805",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.