KARALEE ANN MLACK
NPI 1114531803
Nurse Practitioner - Acute Care in Lexington, KY

Active since September 01, 2020PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
740 SOUTH LIMESTONE, K401, LEXINGTON, KY 40536(859) 323-5533(859) 323-2412 Get Directions Write a Review

NPPES record last updated: May 12, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 12, 2021, Sep 1, 2020 (2 updates tracked since 2020).

About Karalee Ann Mlack NPPES

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

KARALEE ANN MLACK (NPI 1114531803) is an individual acute care provider in Lexington, Kentucky, licensed in Kentucky (3014780) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, is affiliated with Ephraim Mcdowell Regional Medical Center, and maintains a secondary practice location in Richmond.

NPPES Registry Identity

NPI1114531803
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameKARALEE ANN MLACK
Location Address740 SOUTH LIMESTONE, K401Lexington, KY 40536-0284
Mailing Address740 South Limestone K401Lexington, KY 40536-0284 · (859) 323-5533 · Fax (859) 323-2412
Fax(859) 323-2412
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 1, 2020
Last NPPES UpdateMay 12, 20212 updates tracked since enumeration
NPPES CertifiedMay 12, 2021
NPI 1114531803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in KY · 3014780
Also ListedOrthopaedic Surgery · Orthopaedic TraumaTaxonomy 207XX0801X · License 3014780 (KY)
740 SOUTH LIMESTONE, Lexington, KY 40536

Secondary Practice Location 1

Location 1432 Sara Leigh Dr Apt 2Richmond, KY 40475-2648 · Phone (859) 536-1244

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 and accepts Medicare assignment

Karalee Ann Mlack 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 ID143638106
PECOS Enrollment IDI20210413000996
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

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.

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.
49 services36 patients

Hospital Affiliations CMS Care Compare 3

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

Ephraim Mcdowell Regional Medical Center

Acute Care Hospitals · Danville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180048
Location217 South Third StreetDanville, KY 40422 · Boyle County
Emergency services Birthing friendly

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number180067
Location800 Rose StreetLexington, KY 40536 · Fayette County
Emergency services Birthing friendly

Clark Regional Medical Center

Acute Care Hospitals · Winchester, KY
3/5 CMS rating
OwnershipProprietary
CMS Certification Number180092
Location175 Hospital DriveWinchester, KY 40391 · Clark County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 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 20

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

Surgery (Surgical Critical Care)
740 SOUTH LIMESTONE
LEXINGTON, KY 40536
Surgery (Pediatric Surgery)
740 SOUTH LIMESTONE
LEXINGTON, KY 40536
Surgery (Surgical Oncology)
740 SOUTH LIMESTONE
LEXINGTON, KY 40536
Colon & Rectal Surgery
740 SOUTH LIMESTONE
LEXINGTON, KY 40536
Surgery (Surgical Oncology)
740 SOUTH LIMESTONE
LEXINGTON, KY 40536
Psychiatry & Neurology (Neurology)
740 SOUTH LIMESTONE
LEXINGTON, KY 40536
Psychiatry & Neurology (Neurology)
740 SOUTH LIMESTONE
LEXINGTON, KY 40536
Clinical Neuropsychologist
740 SOUTH LIMESTONE
LEXINGTON, KY 40536

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 Karalee Mlack's NPI number?

The NPI number for Karalee Mlack is 1114531803. It was assigned to this individual provider in the NPPES registry on September 1, 2020.

Where is Karalee Mlack located?

Karalee Mlack practices at 740 South Limestone K401, Lexington, KY 40536. The listed phone number is (859) 323-5533.

What is Karalee Mlack's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Karalee Mlack enrolled in Medicare?

Yes. Karalee Mlack 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 Karalee Mlack accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Karalee Mlack 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 Karalee Mlack affiliated with any hospitals?

According to CMS data, Karalee Mlack is affiliated with Ephraim Mcdowell Regional Medical Center, University Of Kentucky Hospital and Clark Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Karalee Mlack was last updated on May 12, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.