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LAUREN NICOLE PAYNTER APRN
NPI 1255956124
Nurse Practitioner - Obstetrics & Gynecology in Danville, KY

Active since June 16, 2020PECOS EnrolledAccepts Medicare Assignment
45.03/100
CMS Quality Rating
124 DANIEL DR, DANVILLE, KY 40422(859) 239-5570 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 13, 2026, Dec 16, 2022, Jun 16, 2020 (3 updates tracked since 2020).

About Lauren Nicole Paynter Aprn NPPES

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

LAUREN NICOLE PAYNTER APRN (NPI 1255956124) is an individual obstetrics & gynecology provider in Danville, Kentucky, licensed in Kentucky (3014644) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1255956124
Entity TypeIndividualFemale
Primary Taxonomy363LX0001X
Provider Legal NameLAUREN NICOLE PAYNTERCredential: APRN
Location Address124 DANIEL DRDanville, KY 40422-2527
Mailing AddressPo Box 990Danville, KY 40423-0990
Phone(859) 239-5570
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 16, 2020
Last NPPES UpdateJuly 13, 20263 updates tracked since enumeration
NPPES CertifiedJuly 13, 2026
✔ NPI 1255956124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Obstetrics & GynecologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LX0001X
License✔ Licensed in KY · 3014644
Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X · License 3014644 (KY)
124 DANIEL DR, Danville, KY 40422
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 Health, Ambetter of Tennessee and more.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

Lauren Nicole Paynter 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 ID9234553652
PECOS Enrollment IDI20200717003061
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

3

Medicare enrollment records show Lauren Paynter reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ephraim Mcdowell Health Resource, Inc
Same address
Specialist
124 DANIEL DR
Danville, KY 40422
  • Reassigned Medicare billing, Kentucky enrollment
  • 247 clinicians in this Medicare group
NPI 1386982791 (859) 239-5570
Bates Miller & Sims PLLC
8.2 mi
Rural Health
100 JAY STREET
Stanford, KY 40484
  • Reassigned Medicare billing, Kentucky enrollment
  • 11 clinicians in this Medicare group
NPI 1598869638 (606) 365-1547
Dix River Family Medicine & Womens Healthcare Center Psc
8.7 mi
Family Medicine
102 AGRICULTURAL WAY
Stanford, KY 40484
  • Reassigned Medicare billing, Kentucky enrollment
  • 4 clinicians in this Medicare group
NPI 1780788828 (606) 365-1547

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 40422 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.

45.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality30.6
Improvement Activities40
Cost27.35

Other Providers at the Same Location NPPES 5

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

DR. PALLAKI D RAVI M.D.
Family Medicine
124 DANIEL DR
DANVILLE, KY 40422
Boyle County (606) 303-4389
EPHRAIM MCDOWELL HEALTH RESOURCE, INC
Specialist
124 DANIEL DR
DANVILLE, KY 40422
Boyle County (859) 239-5570
SUMMIT HEALTHCARE
Family Medicine
124 DANIEL DR
DANVILLE, KY 40422
Boyle County (606) 303-4389
TONYA L NEW APRN
Nurse Practitioner (Obstetrics & Gynecology)
124 DANIEL DR
DANVILLE, KY 40422
Boyle County (859) 239-5570
CENTRAL KENTUCKY RADIOLOGY
Radiology (Diagnostic Radiology)
124 DANIEL DR
DANVILLE, KY 40422
Boyle County (859) 936-9974

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 Lauren Paynter's NPI number?

The NPI number for Lauren Paynter is 1255956124. It was assigned to this individual provider in the NPPES registry on June 16, 2020.

Where is Lauren Paynter located?

Lauren Paynter practices at 124 Daniel Dr, Danville, KY 40422. The listed phone number is (859) 239-5570.

What is Lauren Paynter's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

Is Lauren Paynter enrolled in Medicare?

Yes. Lauren Paynter 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 Lauren Paynter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lauren Paynter reassigns Medicare benefits to 3 organizations: Ephraim Mcdowell Health Resource, Inc (Danville, KY), Bates Miller & Sims PLLC (Stanford, KY) and Dix River Family Medicine & Womens Healthcare Center Psc (Stanford, KY). 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 Lauren Paynter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lauren Paynter accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Lauren Paynter 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 Lauren Paynter was last updated on July 13, 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.