MELISSA SIMPSON APRN
NPI 1265039309
Nurse Practitioner - Family in Lexington, KY
About Melissa Simpson Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MELISSA SIMPSON APRN (NPI 1265039309) is an individual family provider in Lexington, Kentucky, licensed in Kentucky (3014732) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS, is affiliated with The Medical Center (bowling Green), and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Locations 2
Accepted 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
Melissa Simpson 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.
Medicare Billing Reassignments
4Medicare enrollment records show Melissa Simpson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lexington, KY 40503
- Reassigned Medicare billing, Kentucky enrollment
- 51 clinicians in this Medicare group
Lexington, KY 40517
- Reassigned Medicare billing, Kentucky enrollment
- Also billed through NPI 1255805586 (Kentucky)
- 999 clinicians in this Medicare group
Munfordville, KY 42765
- Reassigned Medicare billing, Kentucky enrollment
- Also billed through NPI 1932907144 (Kentucky)
- 27 clinicians in this Medicare group
Albany, KY 42602
- Reassigned Medicare billing, Kentucky enrollment
- 319 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
The Medical Center (bowling Green)
Acute Care Hospitals · Bowling Green, KYT J Samson Community Hospital
Acute Care Hospitals · Glasgow, KYCaverna Memorial Hospital
Critical Access Hospitals · Horse Cave, KYPhysician 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.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Melissa Simpson's NPI number?
The NPI number for Melissa Simpson is 1265039309. It was assigned to this individual provider in the NPPES registry on October 1, 2020. The provider is also known as Melissa Gail Durham.
Where is Melissa Simpson located?
Melissa Simpson practices at 171 W Lowry Ln, Lexington, KY 40503. The listed phone number is (859) 334-1550.
What is Melissa Simpson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Melissa Simpson enrolled in Medicare?
Yes. Melissa Simpson 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 Melissa Simpson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Simpson reassigns Medicare benefits to 4 organizations: Centerwell Senior Primary Care Ky Psc (Lexington, KY), Baptist Health Medical Group Inc (Lexington, KY), Bowling Green-Warren County Community Hospital Corporation (Munfordville, KY) and Commonwealth Health Corporation, Inc (Albany, 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 Melissa Simpson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Melissa Simpson accept?
Health plans from Anthem Blue Cross and Blue Shield list Melissa Simpson 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 Melissa Simpson affiliated with any hospitals?
According to CMS data, Melissa Simpson is affiliated with The Medical Center (bowling Green), T J Samson Community Hospital and Caverna Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Melissa Simpson was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Melissa Simpson, APRN · NPI 1265039309
Family physician in Lexington, Kentucky. Individual provider, active in the CMS NPPES registry since October 1, 2020.
## Identity
- **NPI:** 1265039309 (Entity type: Individual)
- **Enumerated:** October 1, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 3014732 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 171 W LOWRY LN, Lexington, KY 40503-3018
- **Phone:** (859) 334-1550 · **Fax:** (877) 471-2996
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Centerwell Senior Primary Care Ky Psc (NPI 1750093738, Lexington, KY); Baptist Health Medical Group Inc (NPI 1518360296, Lexington, KY); Bowling Green-Warren County Community Hospital Corporation (NPI 1801261029, Munfordville, KY); Commonwealth Health Corporation, Inc (NPI 1922539188, Albany, KY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** August 6, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1265039309) · Data from the CMS NPPES public registry.