ALLISON MCKENZIE THEOBALD APRN
NPI 1083180905
Nurse Practitioner - Pediatrics in Louisville, KY

Active since October 18, 2018PECOS Enrolled
100/100
CMS Quality Rating
6500 PRESTON HWY, LOUISVILLE, KY 40219(502) 893-5502 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 27, 2020, Oct 18, 2018 (2 updates tracked since 2018).

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

NPI1083180905
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameALLISON MCKENZIE THEOBALDCredential: APRN
Location Address6500 PRESTON HWYLouisville, KY 40219-1820
Mailing Address6500 Preston HwyLouisville, KY 40219-1820
Sole ProprietorNo
Enumeration DateOctober 18, 2018
Last NPPES UpdateOctober 27, 20202 updates tracked since enumeration
NPPES CertifiedOctober 27, 2020
NPI 1083180905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in KY · 3012345
6500 PRESTON HWY, Louisville, KY 40219

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Allison Mckenzie Theobald Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

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 10

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

Pediatrics
6500 PRESTON HWY
LOUISVILLE, KY 40219
Internal Medicine
6500 PRESTON HWY
LOUISVILLE, KY 40219
Pediatrics
6500 PRESTON HWY
LOUISVILLE, KY 40219
Nurse Practitioner (Pediatrics)
6500 PRESTON HWY
LOUISVILLE, KY 40219
Nurse Practitioner (Family)
6500 PRESTON HWY
LOUISVILLE, KY 40219
Nurse Practitioner (Family)
6500 PRESTON HWY
LOUISVILLE, KY 40219
Internal Medicine
6500 PRESTON HWY
LOUISVILLE, KY 40219
Nurse Practitioner (Pediatrics)
6500 PRESTON HWY
LOUISVILLE, KY 40219

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.

What insurance does Allison Theobald accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian 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 with the weekly NPPES data releases published by CMS.