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NICOLE L LOY APRN
NPI 1124537501
Nurse Practitioner - Family in Columbia, KY

Active since September 28, 2017PECOS Enrolled
158 COL CASEY DR, COLUMBIA, KY 42728(844) 435-0900(270) 858-4029 Get Directions Write a Review

NPPES record last updated: June 10, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 10, 2021, Aug 12, 2020 (2 updates tracked since 2020).

About Nicole L Loy Aprn NPPES

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

NICOLE L LOY APRN (NPI 1124537501) is an individual family provider in Columbia, Kentucky, licensed in Kentucky (3011590) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124537501
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE L LOYCredential: APRN
Location Address158 COL CASEY DRColumbia, KY 42728-5319
Mailing AddressPo Box 1080Burkesville, KY 42717-1080 · (270) 858-6655 · Fax (270) 858-4607
Phone(844) 435-0900
Fax(270) 858-4029
Sole ProprietorNo
Enumeration DateSeptember 28, 2017
Last NPPES UpdateJune 10, 20212 updates tracked since enumeration
NPPES CertifiedJune 10, 2021
✔ NPI 1124537501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 3011590
158 COL CASEY DR, Columbia, KY 42728
Open in Google Maps ↗

Other Identifiers 1

Medicaid7100496990KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole L Loy 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.

Medicare Billing Reassignment

Medicare enrollment records show Nicole Loy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cumberland Family Medical Center Inc
1.9 mi
Federally Qualified Health Center (FQHC)
322 GENERAL JOHN ADAIR DR
Columbia, KY 42728
  • Reassigned Medicare billing, Kentucky enrollment
  • 276 clinicians in this Medicare group
NPI 1831571751 (844) 435-0900

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 42728 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.

Other Providers at the Same Location NPPES

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

NEALIA GLASS LCSW
Social Worker (Clinical)
158 COL CASEY DR
COLUMBIA, KY 42728
Adair County (844) 435-0900

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 Nicole Loy's NPI number?

The NPI number for Nicole Loy is 1124537501. It was assigned to this individual provider in the NPPES registry on September 28, 2017.

Where is Nicole Loy located?

Nicole Loy practices at 158 Col Casey Dr, Columbia, KY 42728. The listed phone number is (844) 435-0900.

What is Nicole Loy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Nicole Loy enrolled in Medicare?

Yes. Nicole Loy is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicole Loy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Loy reassigns Medicare benefits to Cumberland Family Medical Center Inc (Columbia, 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 Nicole Loy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Loy accept?

Health plans from Anthem Blue Cross and Blue Shield list Nicole Loy 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 Nicole Loy was last updated on June 10, 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.