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SONIA TAYLOR
NPI 1164248241
Nurse Practitioner - Psychiatric/Mental Health in Lexington, KY

Active since November 23, 2024PECOS EnrolledAccepts Medicare Assignment
3050 RIO DOSA DR, LEXINGTON, KY 40509(859) 269-2325 Get Directions Write a Review

NPPES record last updated: March 1, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 1, 2025, Nov 23, 2024 (2 updates tracked since 2024).

About Sonia Taylor NPPES

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

SONIA TAYLOR (NPI 1164248241) is an individual psychiatric/mental health provider in Lexington, Kentucky, licensed in Kentucky (4029214) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1164248241
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSONIA TAYLOR
Location Address3050 RIO DOSA DRLexington, KY 40509-1540
Mailing Address3050 Rio Dosa DrLexington, KY 40509-1540 · (859) 269-2325
Phone(859) 269-2325
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 23, 2024
Last NPPES UpdateMarch 1, 20252 updates tracked since enumeration
NPPES CertifiedMarch 1, 2025
✔ NPI 1164248241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in KY · 4029214
3050 RIO DOSA DR, Lexington, KY 40509
Open in Google Maps ↗

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 and accepts Medicare assignment

Sonia Taylor 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 ID9133688427
PECOS Enrollment IDI20260827000323
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 Sonia Taylor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ridge Outpatient Counseling, LLC
Same address
Psychiatric Unit
3050 RIO DOSA DR
Lexington, KY 40509
  • Reassigned Medicare billing, Kentucky enrollment
  • 22 clinicians in this Medicare group
NPI 1922214956 (859) 269-2325

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 40509 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 20

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

MELANIE EHR LCSW
Social Worker (Clinical)
3050 RIO DOSA DR
LEXINGTON, KY 40509
Fayette County (859) 268-6400
MS. AMY L WRIGHT LCSW
Social Worker (Clinical)
3050 RIO DOSA DR
LEXINGTON, KY 40509
Fayette County (859) 269-2325
MRS. KATHERYN ANNE HALK MSW, CSW
Social Worker (Clinical)
3050 RIO DOSA DR
LEXINGTON, KY 40509
Fayette County (859) 269-2325
JOANNE KRUER LCSW
Social Worker (Clinical)
3050 RIO DOSA DR
LEXINGTON, KY 40509
Fayette County (800) 968-6866
JOSEPH F DAVIS III
Counselor (Addiction (Substance Use Disorder))
3050 RIO DOSA DR
LEXINGTON, KY 40509
Fayette County (859) 269-2325
MRS. HAMPTON VAUGHAN WHITTINGHAM APRN
Nurse Practitioner (Psychiatric/Mental Health)
3050 RIO DOSA DR
LEXINGTON, KY 40509
Fayette County (859) 269-2325
LESLIE MARIE MAYNARD APRN
Nurse Practitioner (Psychiatric/Mental Health)
3050 RIO DOSA DR
LEXINGTON, KY 40509
Fayette County (859) 268-6410
KAMALA GLENN-TAYLOR LMFT
Marriage & Family Therapist
3050 RIO DOSA DR
LEXINGTON, KY 40509
Fayette County (859) 269-2325

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 Sonia Taylor's NPI number?

The NPI number for Sonia Taylor is 1164248241. It was assigned to this individual provider in the NPPES registry on November 23, 2024.

Where is Sonia Taylor located?

Sonia Taylor practices at 3050 Rio Dosa Dr, Lexington, KY 40509. The listed phone number is (859) 269-2325.

What is Sonia Taylor's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Sonia Taylor enrolled in Medicare?

Yes. Sonia Taylor 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 organization bills Medicare for Sonia Taylor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sonia Taylor reassigns Medicare benefits to Ridge Outpatient Counseling, LLC (Lexington, 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 Sonia Taylor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sonia Taylor accept?

Health plans from Anthem Blue Cross and Blue Shield list Sonia Taylor 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 Sonia Taylor was last updated on March 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.