MRS. STEPHANIE TICHENOR ARNP
NPI 1013111939
Nurse Practitioner in Louisville, KY

Active since June 13, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
210 E GRAY ST STE 1105, LOUISVILLE, KY 40202(502) 583-1697(502) 583-2120 Get Directions Write a Review

NPPES record last updated: January 22, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 22, 2021, May 29, 2019, Jul 12, 2016 (3 updates tracked since 2016).

About Mrs. Stephanie Tichenor Arnp NPPES

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

MRS. STEPHANIE TICHENOR ARNP (NPI 1013111939) is an individual nurse practitioner in Louisville, Kentucky, licensed in Kentucky (3005412) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1013111939
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. STEPHANIE TICHENORCredential: ARNP
Location Address210 E GRAY ST STE 1105Louisville, KY 40202-3907
Mailing AddressPo Box 776351Chicago, IL 60677-6351 · (502) 588-9490 · Fax (502) 272-5116
Fax(502) 583-2120
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJune 13, 2007
Last NPPES UpdateJanuary 22, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2021
✔ NPI 1013111939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in KY · 3005412✔ Licensed in KY · 5412P
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.
Also ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X · License 1096981 (KY)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 3005412 (KY)
210 E GRAY ST STE 1105, Louisville, KY 40202

Other Identifiers 9

Other000000696981KY · Anthem- Nniky
Other9152454KY · Aetna- Nniky
Medicaid7100040710KY
Other000040710KY · Humana- Nniky
OtherP00948802KY · Railroad Medicare
Medicaid200884950IN
Other8960504KY · Cigna- Nniky
Other50031587KY · Passport- Nniky
Other093360KY · Siho- Nniky

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Stephanie Tichenor Arnp 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 ID3971683954
PECOS Enrollment IDI20080103000135
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Stephanie Tichenor reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
720 W HILL ST
Louisville, KY 40208
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,896 clinicians in this Medicare group
Interventional Pain Medicine
10302 BROOKRIDGE VILLAGE BLVD STE 103-104
Louisville, KY 40291
  • Reassigned Medicare billing, Kentucky enrollment
  • 4 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Other Providers at the Same Location NPPES 14

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

Neurological Surgery
210 E GRAY ST STE 1105
LOUISVILLE, KY 40202
Neurological Surgery
210 E GRAY ST STE 1105
LOUISVILLE, KY 40202
Neurological Surgery
210 E GRAY ST STE 1105
LOUISVILLE, KY 40202
Neurological Surgery
210 E GRAY ST STE 1105
LOUISVILLE, KY 40202
Physician Assistant
210 E GRAY ST STE 1105
LOUISVILLE, KY 40202
Neurological Surgery
210 E GRAY ST STE 1105
LOUISVILLE, KY 40202
Psychologist
210 E GRAY ST STE 1105
LOUISVILLE, KY 40202
Neurological Surgery
210 E GRAY ST STE 1105
LOUISVILLE, KY 40202

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 Stephanie Tichenor's NPI number?

The NPI number for Stephanie Tichenor is 1013111939. It was assigned to this individual provider in the NPPES registry on June 13, 2007.

Where is Stephanie Tichenor located?

Stephanie Tichenor practices at 210 E Gray St Ste 1105, Louisville, KY 40202. The listed phone number is (502) 583-1697.

What is Stephanie Tichenor's specialty?

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

Is Stephanie Tichenor enrolled in Medicare?

Yes. Stephanie Tichenor 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.

Which organizations bill Medicare for Stephanie Tichenor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Tichenor reassigns Medicare benefits to 2 organizations: Community Medical Associates, Inc. (Louisville, KY) and Pain And Wellness Institute Of Kentucky LLC (Louisville, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stephanie Tichenor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Stephanie Tichenor was last updated on January 22, 2021. 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.