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MEGAN DANIELLE HENSLEY APRN
NPI 1205330222
Nurse Practitioner - Family in Lexington, KY

Active since March 23, 2018PECOS EnrolledAccepts Medicare Assignment
80.89/100
CMS Quality Rating
1000 S LIMESTONE, LEXINGTON, KY 40506(859) 323-5901(859) 323-3040 Get Directions Write a Review

NPPES record last updated: December 14, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 14, 2022, Nov 22, 2021, Mar 23, 2018 (3 updates tracked since 2018).

About Megan Danielle Hensley Aprn NPPES

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

MEGAN DANIELLE HENSLEY APRN (NPI 1205330222) is an individual family provider in Lexington, Kentucky, licensed in Kentucky (3012127) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Winchester, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1205330222
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMEGAN DANIELLE HENSLEYCredential: APRN
Location Address1000 S LIMESTONELexington, KY 40506-0007
Mailing AddressPo Box 5802Carol Stream, IL 60197-5802 · (615) 600-3488
Phone(859) 323-5901
Fax(859) 323-3040
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 23, 2018
Last NPPES UpdateDecember 14, 20223 updates tracked since enumeration
NPPES CertifiedDecember 14, 2022
✔ NPI 1205330222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 3012127
Also ListedNurse PractitionerTaxonomy 363L00000X · License 3012127 (KY)
1000 S LIMESTONE, Lexington, KY 40506
Open in Google Maps ↗

Secondary Practice Location 1

Location 1480 Bullion Blvd Ste BWinchester, KY 40391-2933 · Phone (859) 385-2933 · Fax (859) 385-4758

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

Megan Danielle Hensley 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 ID6709140825
PECOS Enrollment IDI20180425002454
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 Reassignments

6

Medicare enrollment records show Megan Hensley reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Kentucky
0.1 mi
Family
UK COLLEGE OF DENTISTRY, 770 ROSE STREET, MN328
Lexington, KY 40536
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,761 clinicians in this Medicare group
NPI 1215449590 (859) 323-3368
Harrison Memorial Hospital Inc
27 mi
Multi-Specialty
1210 KY HIGHWAY 36 E
Cynthiana, KY 41031
  • Reassigned Medicare billing, Kentucky enrollment
  • 81 clinicians in this Medicare group
NPI 1669615233 (859) 234-2300
Medycus Staffing PLLC
27 mi
Emergency Medicine
1210 KY HIGHWAY 36 E
Cynthiana, KY 41031
  • Reassigned Medicare billing, Kentucky enrollment
  • 24 clinicians in this Medicare group
NPI 1437859162 (877) 346-2211
Harrison Memorial Hospital
28 mi
Clinic/Center
1210 KY HIGHWAY 36 E
Cynthiana, KY 41031
  • Reassigned Medicare billing, Kentucky enrollment
  • 54 clinicians in this Medicare group
NPI 1386783868 (859) 234-2300
Southeastern Emergency Physicians LLC
57 mi
Emergency Medicine
989 MEDICAL PARK DR
Maysville, KY 41056
  • Reassigned Medicare billing, Kentucky enrollment
  • 828 clinicians in this Medicare group
NPI 1356379382 (606) 759-5311
Brock Medical, LLC
68 mi
Nurse Practitioner
1752 HIGHWAY 192 W, SUITE 1
London, KY 40741
  • Reassigned Medicare billing, Kentucky enrollment
  • 362 clinicians in this Medicare group
NPI 1023379815 (606) 330-0055

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 40506 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.

80.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality62.29
Promoting Interoperability100
Improvement Activities40
Cost74

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.

CARSON G SWARTZ DNP, APRN
Nurse Practitioner (Acute Care)
1000 S LIMESTONE
LEXINGTON, KY 40506
Fayette County (859) 323-5000
ALEXANDER WILSON MEADOR
Student in an Organized Health Care Education/Training Program
1000 S LIMESTONE
LEXINGTON, KY 40506
Fayette County (859) 257-1000
MRS. LAURA SMITH HUGHES APRN
Nurse Practitioner (Family)
1000 S LIMESTONE
LEXINGTON, KY 40506
Fayette County (859) 323-5901
ASHLEY DANIELLE LUTZ
Student in an Organized Health Care Education/Training Program
1000 S LIMESTONE
LEXINGTON, KY 40506
Fayette County (859) 473-5522
ASHLEY GILLSTRAP APRN
Nurse Practitioner (Acute Care)
1000 S LIMESTONE
LEXINGTON, KY 40506
Fayette County (859) 323-9057
DR. MATTHEW BLACKBURN PHARMD, BCCCP, BCPS
Pharmacist
1000 S LIMESTONE
LEXINGTON, KY 40506
Fayette County (859) 323-2300
MADISON FISCHER
Student in an Organized Health Care Education/Training Program
1000 S LIMESTONE
LEXINGTON, KY 40506
Fayette County (859) 257-1000
SHELBY BISHOP APRN
Nurse Practitioner (Acute Care)
1000 S LIMESTONE
LEXINGTON, KY 40506
Fayette County (859) 323-9057

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 Megan Hensley's NPI number?

The NPI number for Megan Hensley is 1205330222. It was assigned to this individual provider in the NPPES registry on March 23, 2018.

Where is Megan Hensley located?

Megan Hensley practices at 1000 S Limestone, Lexington, KY 40506. The listed phone number is (859) 323-5901.

What is Megan Hensley's specialty?

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

Is Megan Hensley enrolled in Medicare?

Yes. Megan Hensley 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 organizations bill Medicare for Megan Hensley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Megan Hensley reassigns Medicare benefits to 6 organizations: University Of Kentucky (Lexington, KY), Harrison Memorial Hospital Inc (Cynthiana, KY), Medycus Staffing PLLC (Cynthiana, KY), Harrison Memorial Hospital (Cynthiana, KY), Southeastern Emergency Physicians LLC (Maysville, KY) and 1 more organization, listed in the Medicare section above. Each 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 Megan Hensley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Megan Hensley accept?

Health plans from Anthem Blue Cross and Blue Shield list Megan Hensley 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 Megan Hensley was last updated on December 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.