ALLISON RAYMOND APRN
NPI 1235721432
Nurse Practitioner - Family in Lexington, KY

Active since February 09, 2021PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
1000 S LIMESTONE, LEXINGTON, KY 40536(859) 323-5901(859) 323-3040 Get Directions Write a Review

NPPES record last updated: July 17, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 17, 2023, Jan 12, 2022, Feb 9, 2021 (3 updates tracked since 2021).

About Allison Raymond Aprn NPPES

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

ALLISON RAYMOND APRN (NPI 1235721432) is an individual family provider in Lexington, Kentucky, licensed in Kentucky (3015730) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1235721432
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALLISON RAYMONDCredential: APRN
Location Address1000 S LIMESTONELexington, KY 40536-1795
Mailing Address1000 S LimestoneLexington, KY 40536-0001 · (859) 323-5901 · Fax (859) 323-3040
Fax(859) 323-3040
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 9, 2021
Last NPPES UpdateJuly 17, 20233 updates tracked since enumeration
NPPES CertifiedJuly 17, 2023
NPI 1235721432 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 · 3015730
1000 S LIMESTONE, Lexington, KY 40536

Accepted 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

Allison Raymond 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 ID547675084
PECOS Enrollment IDI20210216001912
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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
18 services18 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
18 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 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 20

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

Internal Medicine (Pulmonary Disease)
1000 S LIMESTONE
LEXINGTON, KY 40536
Physician Assistant
1000 S LIMESTONE
LEXINGTON, KY 40536
Physician Assistant
1000 S LIMESTONE
LEXINGTON, KY 40536
Pharmacist
1000 S LIMESTONE
LEXINGTON, KY 40536
Pharmacist
1000 S LIMESTONE
LEXINGTON, KY 40536
Specialist/Technologist, Other (Surgical Assistant)
1000 S LIMESTONE
LEXINGTON, KY 40536
Physician Assistant
1000 S LIMESTONE
LEXINGTON, KY 40536
Nurse Practitioner (Acute Care)
1000 S LIMESTONE
LEXINGTON, KY 40536

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 Allison Raymond's NPI number?

The NPI number for Allison Raymond is 1235721432. It was assigned to this individual provider in the NPPES registry on February 9, 2021.

Where is Allison Raymond located?

Allison Raymond practices at 1000 S Limestone, Lexington, KY 40536. The listed phone number is (859) 323-5901.

What is Allison Raymond's specialty?

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

Is Allison Raymond enrolled in Medicare?

Yes. Allison Raymond 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 Allison Raymond accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 1 other insurer list Allison Raymond 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 Allison Raymond was last updated on July 17, 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.