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CELAIDA LEZCANO
NPI 1003218140
Nurse Practitioner in Louisville, KY

Active since September 19, 2014PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
234 E GRAY ST STE 670, LOUISVILLE, KY 40202(502) 629-4525(502) 629-4529 Get Directions Write a Review

NPPES record last updated: October 23, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 23, 2020, Mar 12, 2020 (2 updates tracked since 2020).

About Celaida Lezcano NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CELAIDA LEZCANO (NPI 1003218140) is an individual nurse practitioner in Louisville, Kentucky, licensed in Kentucky (3008957) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS, is affiliated with Norton Hospitals, Inc, and is a graduate of University Of Louisville School Of Medicine (2014).

NPPES Registry Identity

NPI1003218140
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCELAIDA LEZCANO
Location Address234 E GRAY ST STE 670Louisville, KY 40202-1901
Mailing Address234 E Gray St Ste 670Louisville, KY 40202-1901 · (502) 629-4525 · Fax (502) 629-4529
Phone(502) 629-4525
Fax(502) 629-4529
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2014
Enumeration DateSeptember 19, 2014
Last NPPES UpdateOctober 23, 20202 updates tracked since enumeration
NPPES CertifiedOctober 23, 2020
✔ NPI 1003218140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in KY · 3008957
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
234 E GRAY ST STE 670, Louisville, KY 40202
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Celaida Lezcano is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274754197
PECOS Enrollment IDI20141017001845
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
146 services83 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
102 services62 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
52 services41 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
48 services48 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
31 services30 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
30 services30 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$2.86 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

INTERNAL MEDICINE CONSULTANTS, PLLC
Nurse Practitioner (Family)
234 E GRAY ST STE 670
LOUISVILLE, KY 40202
Jefferson County (502) 629-4525
INTERNAL MEDICINE CONSULTANTS, PLLC
Clinic/Center (Primary Care)
234 E GRAY ST STE 670
LOUISVILLE, KY 40202
Jefferson County (502) 629-4525

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Celaida Lezcano's NPI number?

The NPI number for Celaida Lezcano is 1003218140. It was assigned to this individual provider in the NPPES registry on September 19, 2014.

Where is Celaida Lezcano located?

Celaida Lezcano practices at 234 E Gray St Ste 670, Louisville, KY 40202. The listed phone number is (502) 629-4525.

What is Celaida Lezcano's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Celaida Lezcano enrolled in Medicare?

Yes. Celaida Lezcano is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Celaida Lezcano accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Celaida Lezcano as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Celaida Lezcano affiliated with any hospitals?

According to CMS data, Celaida Lezcano is affiliated with Norton Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Celaida Lezcano was last updated on October 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.