LEE M GUENTHER APRN
NPI 1164852166
Nurse Practitioner - Family in Louisville, KY

Q: What is Lee Guenther's NPI number?

The NPI number for Lee Guenther is 1164852166. It was assigned to this individual provider in the NPPES registry on November 13, 2013. The provider is also known as Lee Marie Hamilton Aprn.

Q: What is Lee Guenther's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lee Guenther was last updated on October 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since November 13, 2013PECOS EnrolledAccepts Medicare Assignment

95.5/100

CMS Quality Rating

2400 EASTPOINT PKWY, SUITE 430, LOUISVILLE, KY 40223(502) 253-6615(502) 253-6618 Get Directions Write a Review

NPPES record last updated: October 5, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Lee M Guenther Aprn NPPES

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

LEE M GUENTHER APRN (NPI 1164852166) is an individual family provider in Louisville, Kentucky, licensed in Kentucky (3008329) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Louisville, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1164852166

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLEE M GUENTHERCredential: APRN

Location Address2400 EASTPOINT PKWY, SUITE 430Louisville, KY 40223-4154

Mailing AddressPo Box 950248Louisville, KY 40295-0248 · (502) 253-6615 · Fax (502) 253-6618

Phone(502) 253-6615

Fax(502) 253-6618

Sole ProprietorYes

Medical School CMSOtherGraduated 2013

Enumeration DateNovember 13, 2013

Last NPPES UpdateOctober 5, 2016

✔ NPI 1164852166 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 · 3008329

2400 EASTPOINT PKWY, Louisville, KY 40223

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Other Names 1

Former Name (1)Lee Marie Hamilton Aprn

Other Identifiers 2

Medicaid7100334840KY

Medicare PINK128210KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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

Lee M Guenther Aprn 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 ID2264751361

PECOS Enrollment IDI20150511002063

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 3

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.

47 services45 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

25 services24 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Louisville

Acute Care Hospitals · Louisville, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180130

Location4000 Kresge WayLouisville, KY 40207 · Jefferson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40223 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.

95.5/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

89.59

Promoting Interoperability

100

Improvement Activities

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.

HAND AND WRIST OF LOUISVILLE, PLLC

Plastic Surgery (Surgery of the Hand)

2400 EASTPOINT PKWY, STE 570
LOUISVILLE, KY 40223

Jefferson County (502) 409-6898

KIMBERLY CRIPE LANTER MA

Speech-Language Pathologist

2400 EASTPOINT PKWY
LOUISVILLE, KY 40223

Jefferson County (502) 210-4752

FIRST UROLOGY, PSC

Urology

2400 EASTPOINT PKWY, SUITE 560
LOUISVILLE, KY 40223

Jefferson County (502) 897-7172

TONYA PERKINS MD

Internal Medicine

2400 EASTPOINT PKWY, SUITE 550
LOUISVILLE, KY 40223

Jefferson County (502) 253-6630

SUSANNA M MEYER PT

Physical Therapist

2400 EASTPOINT PKWY, SUITE 120
LOUISVILLE, KY 40223

Jefferson County (502) 253-6689

BAPTIST HEALTHCARE SYSTEM, INC.

Clinic/Center (Ambulatory Surgical)

2400 EASTPOINT PKWY
LOUISVILLE, KY 40223

Jefferson County (502) 210-4861

BRIGID M BUCKMAN ARNP

Nurse Practitioner (Adult Health)

2400 EASTPOINT PKWY, SUITE 410
LOUISVILLE, KY 40223

Jefferson County (502) 253-6625

AMY DENNIS PT

Physical Therapist

2400 EASTPOINT PKWY, SUITE 120
LOUISVILLE, KY 40223

Jefferson County (502) 253-6689

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 Lee Guenther's NPI number?

The NPI number for Lee Guenther is 1164852166. It was assigned to this individual provider in the NPPES registry on November 13, 2013. The provider is also known as Lee Marie Hamilton Aprn.

Where is Lee Guenther located?

Lee Guenther practices at 2400 Eastpoint Pkwy Suite 430, Louisville, KY 40223. The listed phone number is (502) 253-6615.

What is Lee Guenther's specialty?

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

Is Lee Guenther enrolled in Medicare?

Yes. Lee Guenther 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 Lee Guenther accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Lee Guenther 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 Lee Guenther affiliated with any hospitals?

According to CMS data, Lee Guenther is affiliated with Baptist Health Louisville.

When was this NPI record last updated?

The NPPES record for Lee Guenther was last updated on October 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.