ALLISON MCKENZIE THEOBALD APRN
NPI 1083180905
Nurse Practitioner - Pediatrics in Louisville, KY
About Allison Mckenzie Theobald Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALLISON MCKENZIE THEOBALD APRN (NPI 1083180905) is an individual pediatrics provider in Louisville, Kentucky, licensed in Kentucky (3012345) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Allison Mckenzie Theobald Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Allison Theobald reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Louisville, KY 40241
- Reassigned Medicare billing, Kentucky enrollment
- Medicare enrollment name: Norton Childrens Medical Group LLC
- 1,008 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 40219 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Allison Theobald's NPI number?
The NPI number for Allison Theobald is 1083180905. It was assigned to this individual provider in the NPPES registry on October 18, 2018.
Where is Allison Theobald located?
Allison Theobald practices at 6500 Preston Hwy, Louisville, KY 40219. The listed phone number is (502) 893-5502.
What is Allison Theobald's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Allison Theobald enrolled in Medicare?
Yes. Allison Theobald is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Allison Theobald's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Allison Theobald reassigns Medicare benefits to Norton Children's Medical Group, LLC (Louisville, KY). The 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 Allison Theobald's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Allison Theobald accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Allison Theobald 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.
When was this NPI record last updated?
The NPPES record for Allison Theobald was last updated on October 27, 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.
# Allison Mckenzie Theobald, APRN · NPI 1083180905
Pediatrics physician in Louisville, Kentucky. Individual provider, active in the CMS NPPES registry since October 18, 2018.
## Identity
- **NPI:** 1083180905 (Entity type: Individual)
- **Enumerated:** October 18, 2018
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 3012345 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 6500 PRESTON HWY, Louisville, KY 40219-1820
- **Phone:** (502) 893-5502
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Norton Children's Medical Group, LLC (NPI 1013559921, Louisville, KY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 27, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1083180905) · Data from the CMS NPPES public registry.