NICOLE AKEY PA-C
NPI 1255815056
Physician Assistant in Lexington, KY

Active since September 18, 2018PECOS EnrolledAccepts Medicare Assignment
78.78/100
CMS Quality Rating
1350 BULL LEA RD, LEXINGTON, KY 40511(859) 246-8000(859) 246-8032 Get Directions Write a Review

NPPES record last updated: July 2, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 2, 2024, Jan 6, 2021, Dec 2, 2020 and 3 more (6 updates tracked since 2018).

About Nicole Akey Pa-c NPPES

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

NICOLE AKEY PA-C (NPI 1255815056) is an individual physician assistant in Lexington, Kentucky, licensed in Kentucky (PA2430) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, is affiliated with University Of Cincinnati Medical Center, Llc, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1255815056
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE AKEYCredential: PA-C
Location Address1350 BULL LEA RDLexington, KY 40511-1247
Mailing AddressPo Box 636256Cincinnati, OH 45263-6256 · (513) 585-6200 · Fax (513) 245-3672
Fax(859) 246-8032
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2018
Enumeration DateSeptember 18, 2018
Last NPPES UpdateJuly 2, 20246 updates tracked since enumeration
NPPES CertifiedJuly 2, 2024
NPI 1255815056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in KY · PA2430 Licensed in OH · 50.00000
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.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA2430 (KY)
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA2430 (KY)
1350 BULL LEA RD, Lexington, KY 40511

Secondary Practice Locations 2

Location 1740 S LimestoneLexington, KY 40536 · Phone (859) 323-5544
Location 23200 Burnet AveCincinnati, OH 45229-3019 · Phone (513) 558-7700 · Fax (513) 558-5055

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

Nicole Akey Pa-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 ID2668710039
PECOS Enrollment IDI20230926000440
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 5

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
122 services58 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
89 services36 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.
56 services32 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
36 services11 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
28 services28 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Cincinnati Medical Center, LLC

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360003
Location3188 Bellevue AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

West Chester Hospital

Acute Care Hospitals · West Chester, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360354
Location7700 University DriveWest Chester, OH 45069 · Butler County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40511 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.

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.

78.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.42
Promoting Interoperability100
Improvement Activities40
Cost58.86

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.

Nurse Practitioner (Psychiatric/Mental Health)
1350 BULL LEA RD
LEXINGTON, KY 40511
Psychiatry & Neurology (Psychiatry)
1350 BULL LEA RD
LEXINGTON, KY 40511
Psychiatry & Neurology (Psychiatry)
1350 BULL LEA RD
LEXINGTON, KY 40511
Psychologist (Clinical)
1350 BULL LEA RD
LEXINGTON, KY 40511
Nurse Practitioner (Psychiatric/Mental Health)
1350 BULL LEA RD
LEXINGTON, KY 40511
Skilled Nursing Facility
1350 BULL LEA RD
LEXINGTON, KY 40511
Nurse Practitioner (Psychiatric/Mental Health)
1350 BULL LEA RD
LEXINGTON, KY 40511
Physician Assistant (Medical)
1350 BULL LEA RD
LEXINGTON, KY 40511

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 Nicole Akey's NPI number?

The NPI number for Nicole Akey is 1255815056. It was assigned to this individual provider in the NPPES registry on September 18, 2018.

Where is Nicole Akey located?

Nicole Akey practices at 1350 Bull Lea Rd, Lexington, KY 40511. The listed phone number is (859) 246-8000.

What is Nicole Akey's specialty?

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

Is Nicole Akey enrolled in Medicare?

Yes. Nicole Akey 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 Nicole Akey accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Nicole Akey 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 Nicole Akey affiliated with any hospitals?

According to CMS data, Nicole Akey is affiliated with University Of Cincinnati Medical Center, LLC and West Chester Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Akey was last updated on July 2, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.