Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

EMILY BUCKMILLER SUPERNOVA PA-C
NPI 1194228684
Physician Assistant in Louisville, KY

Q: What is Emily Supernova's NPI number?

The NPI number for Emily Supernova is 1194228684. It was assigned to this individual provider in the NPPES registry on March 12, 2018.

Q: What is Emily Supernova's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Emily Supernova was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days 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 March 12, 2018PECOS Enrolled

4001 DUTCHMANS LN, LOUISVILLE, KY 40207(502) 559-3930(502) 559-4605 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 7, 2026, Sep 27, 2022, Aug 1, 2022 and 3 more (6 updates tracked since 2018).

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About Emily Buckmiller Supernova Pa-c NPPES

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

EMILY BUCKMILLER SUPERNOVA PA-C (NPI 1194228684) is an individual physician assistant in Louisville, Kentucky, licensed in Kentucky (PA2967) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194228684

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameEMILY BUCKMILLER SUPERNOVACredential: PA-C

Location Address4001 DUTCHMANS LNLouisville, KY 40207-4714

Mailing AddressPo Box 776879Chicago, IL 60677-6879 · (502) 588-9490 · Fax (502) 272-5116

Phone(502) 559-3930

Fax(502) 559-4605

Sole ProprietorNo

Enumeration DateMarch 12, 2018

Last NPPES UpdateJuly 7, 20266 updates tracked since enumeration

NPPES CertifiedJuly 7, 2026

✔ NPI 1194228684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in KY · PA2967✔ Licensed in MO · 2018013895✔ Licensed in UT · 10732519-1206

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

4001 DUTCHMANS LN, Louisville, KY 40207

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Other Identifiers 1

OtherPA2967KY · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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)

Emily Buckmiller Supernova Pa-c 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 40207 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

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

Most-billed visit code 99213

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.

MRS. EMILY R ARAGONA PA-C

Physician Assistant