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STEPHANIE D COLE FNP-C
NPI 1205472677
Nurse Practitioner - Family in Lexington, KY

Active since November 20, 2019PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
2108 NICHOLASVILLE RD, LEXINGTON, KY 40503(859) 278-9413 Get Directions Write a Review

NPPES record last updated: August 4, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 6, 2022, Nov 20, 2019 (2 updates tracked since 2019).

About Stephanie D Cole Fnp-c NPPES

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

STEPHANIE D COLE FNP-C (NPI 1205472677) is an individual family provider in Lexington, Kentucky, licensed in Kentucky (3013081) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Lexington, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1205472677
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTEPHANIE D COLECredential: FNP-C
Location Address2108 NICHOLASVILLE RDLexington, KY 40503-2502
Mailing Address2108 Nicholasville RdLexington, KY 40503-2502 · (859) 771-8778
Phone(859) 278-9413
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateNovember 20, 2019
Last NPPES UpdateAugust 4, 20232 updates tracked since enumeration
NPPES CertifiedAugust 4, 2023
✔ NPI 1205472677 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 · 3013081
2108 NICHOLASVILLE RD, Lexington, KY 40503
Open in Google Maps ↗

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

Stephanie D Cole Fnp-c 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 ID8123453289
PECOS Enrollment IDI20200117000857
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 2

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.
38 services30 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.
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 Lexington

Acute Care Hospitals · Lexington, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180103
Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40503 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
Quality89.59
Promoting Interoperability100
Improvement Activities40

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.

BENJAMIN BERTRAM PA-C
Physician Assistant (Medical)
2108 NICHOLASVILLE RD
LEXINGTON, KY 40503
Fayette County (859) 260-5200
DR. ERIN A DRENKHAHN M.D.
Family Medicine
2108 NICHOLASVILLE RD
LEXINGTON, KY 40503
Fayette County (859) 278-9413
MARSHALL TAYLOR STAI D.O.
Internal Medicine
2108 NICHOLASVILLE RD
LEXINGTON, KY 40503
Fayette County (859) 278-9413
NICOLE MASHNI DOUTHAT DO
Internal Medicine
2108 NICHOLASVILLE RD
LEXINGTON, KY 40503
Fayette County (859) 278-9413
MELISSA HORNSBY SMALLWOOD APRN
Nurse Practitioner
2108 NICHOLASVILLE RD
LEXINGTON, KY 40503
Fayette County (859) 278-9413
WILLIAM R BANKS II MD
Internal Medicine
2108 NICHOLASVILLE RD
LEXINGTON, KY 40503
Fayette County (859) 278-9413

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 Stephanie Cole's NPI number?

The NPI number for Stephanie Cole is 1205472677. It was assigned to this individual provider in the NPPES registry on November 20, 2019.

Where is Stephanie Cole located?

Stephanie Cole practices at 2108 Nicholasville Rd, Lexington, KY 40503. The listed phone number is (859) 278-9413.

What is Stephanie Cole's specialty?

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

Is Stephanie Cole enrolled in Medicare?

Yes. Stephanie Cole 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 Stephanie Cole accept?

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

According to CMS data, Stephanie Cole is affiliated with Baptist Health Lexington.

When was this NPI record last updated?

The NPPES record for Stephanie Cole was last updated on August 4, 2023. 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.