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ERIN FANNIN
NPI 1275941684
Nurse Practitioner in Lexington, KY

Active since July 29, 2014PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
1740 NICHOLASVILLE RD, LEXINGTON, KY 40503(859) 260-6348(859) 260-4350 Get Directions Write a Review

NPPES record last updated: December 4, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Erin Fannin NPPES

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

ERIN FANNIN (NPI 1275941684) is an individual nurse practitioner in Lexington, Kentucky, licensed in Kentucky (3008792) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, is affiliated with Ephraim Mcdowell Regional Medical Center, and is a graduate of University Of Louisville School Of Medicine (2014).

NPPES Registry Identity

NPI1275941684
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameERIN FANNIN
Location Address1740 NICHOLASVILLE RDLexington, KY 40503-1431
Mailing Address4071 Tates Creek Centre Dr, Suite 202Lexington, KY 40517-3062 · (859) 260-6348 · Fax (859) 260-4350
Phone(859) 260-6348
Fax(859) 260-4350
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2014
Enumeration DateJuly 29, 2014
Last NPPES UpdateDecember 4, 2020
NPPES CertifiedDecember 4, 2020
✔ NPI 1275941684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in KY · 3008792
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1740 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

Erin Fannin 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 ID2062631872
PECOS Enrollment IDI20140909002657
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.

Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
30 services25 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
23 services18 patients

Hospital Affiliations CMS Care Compare 3

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

Ephraim Mcdowell Regional Medical Center

Acute Care Hospitals · Danville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180048
Location217 South Third StreetDanville, KY 40422 · Boyle County
Emergency services Birthing friendly

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

Ephraim Mcdowell Fort Logan Hospital

Critical Access Hospitals · Stanford, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181315
Location110 Metker TrailStanford, KY 40484 · Lincoln 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

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers26 claims26 services$15.93 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers26 claims26 services$83.49 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$22.91 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MR. JAMES RANSOM ADAIR PA-C
Physician Assistant
1740 NICHOLASVILLE RD
LEXINGTON, KY 40503
Fayette County (859) 277-8179
MR. DANNY LEE PERRY
Pharmacist
1740 NICHOLASVILLE RD
LEXINGTON, KY 40503
Fayette County (859) 260-6659
TYLER BENNETT MCLAURINE
Hospitalist
1740 NICHOLASVILLE RD
LEXINGTON, KY 40503
Fayette County (859) 260-6348
KENTUCKY BREAST IMAGING PLLC
Radiology (Diagnostic Radiology)
1740 NICHOLASVILLE RD, CENTRAL BAPTIST HOSPITAL
LEXINGTON, KY 40503
Fayette County (877) 459-2290
BAPTIST PHYSICIANS LEXINGTON, INC
Internal Medicine
1740 NICHOLASVILLE RD
LEXINGTON, KY 40503
Fayette County (859) 260-6104
JOSHUA ADAM WIRTH
Nurse Practitioner (Family)
1740 NICHOLASVILLE RD
LEXINGTON, KY 40503
Fayette County (859) 260-6348
PHILIP FIELDS PHARMD
Pharmacist
1740 NICHOLASVILLE RD
LEXINGTON, KY 40503
Fayette County (859) 260-6633
DR. LAYLA MAREFAT PHARMD
Pharmacist
1740 NICHOLASVILLE RD
LEXINGTON, KY 40503
Fayette County (859) 260-6100

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 Erin Fannin's NPI number?

The NPI number for Erin Fannin is 1275941684. It was assigned to this individual provider in the NPPES registry on July 29, 2014.

Where is Erin Fannin located?

Erin Fannin practices at 1740 Nicholasville Rd, Lexington, KY 40503. The listed phone number is (859) 260-6348.

What is Erin Fannin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Erin Fannin enrolled in Medicare?

Yes. Erin Fannin 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 Erin Fannin accept?

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

According to CMS data, Erin Fannin is affiliated with Ephraim Mcdowell Regional Medical Center, Baptist Health Lexington and Ephraim Mcdowell Fort Logan Hospital.

When was this NPI record last updated?

The NPPES record for Erin Fannin was last updated on December 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.