MRS. SONIA N CRUMP PA-C
NPI 1194807149
Physician Assistant - Surgical in Lexington, KY

Q: What is Sonia Crump's NPI number?

The NPI number for Sonia Crump is 1194807149. It was assigned to this individual provider in the NPPES registry on October 19, 2006.

Q: What is Sonia Crump's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Sonia Crump was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since October 19, 2006PECOS Enrolled

170 N EAGLE CREEK DR STE 104, LEXINGTON, KY 40509(859) 967-5848(859) 967-5473 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 4, 2026, Sep 3, 2025 (2 updates tracked since 2025).

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About Mrs. Sonia N Crump Pa-c NPPES

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

MRS. SONIA N CRUMP PA-C (NPI 1194807149) is an individual surgical provider in Lexington, Kentucky, licensed in Kentucky (PA041) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1194807149

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameMRS. SONIA N CRUMPCredential: PA-C

Location Address170 N EAGLE CREEK DR STE 104Lexington, KY 40509-9087

Mailing AddressPo Box 936London, KY 40743-0936 · (606) 330-7835 · Fax (859) 967-5473

Phone(859) 967-5848

Fax(859) 967-5473

Sole ProprietorNo

Medical School CMSOtherGraduated 1987

Enumeration DateOctober 19, 2006

Last NPPES UpdateMay 4, 20262 updates tracked since enumeration

NPPES CertifiedMay 4, 2026

✔ NPI 1194807149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in KY · PA041

170 N EAGLE CREEK DR STE 104, Lexington, KY 40509

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Secondary Practice Locations 2

Location 1160 N Eagle Creek Dr Ste 400Lexington, KY 40509-2124 · Phone (859) 258-5220 · Fax (859) 258-5405

Location 2100 N Eagle Creek DrLexington, KY 40509-1805 · Phone (859) 258-5285 · Fax (859) 258-5295

Other Identifiers 1

Medicaid7101086820KY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Sonia N Crump Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294239950

PECOS Enrollment IDI20250917001165

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.

Other Providers at the Same Location NPPES 6

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

RANDI JACOBS APRN

Nurse Practitioner (Family)