ADAM ANDREW LOOSE DNP
NPI 1295216091
Nurse Practitioner - Psychiatric/Mental Health in Lexington, KY

Active since August 28, 2018PECOS EnrolledAccepts Medicare Assignment
60.28/100
CMS Quality Rating
1351 NEWTOWN PIKE BLDG 1, LEXINGTON, KY 40511(859) 253-1686 Get Directions Write a Review

NPPES record last updated: June 18, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 18, 2019, Aug 28, 2018 (2 updates tracked since 2018).

About Adam Andrew Loose Dnp NPPES

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

ADAM ANDREW LOOSE DNP (NPI 1295216091) is an individual psychiatric/mental health provider in Lexington, Kentucky, licensed in Kentucky (3012559) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Nicholasville, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1295216091
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameADAM ANDREW LOOSECredential: DNP
Location Address1351 NEWTOWN PIKE BLDG 1Lexington, KY 40511
Mailing Address1351 Newtown Pike Bldg 1Lexington, KY 40511-1277 · (859) 253-1686
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 28, 2018
Last NPPES UpdateJune 18, 20192 updates tracked since enumeration
NPI 1295216091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in KY · 3012559
1351 NEWTOWN PIKE BLDG 1, Lexington, KY 40511

Secondary Practice Location 1

Location 1125 Orchard DrNicholasville, KY 40356-2690 · Phone (859) 241-3081 · Fax (859) 241-1045

Other Identifiers 1

Medicaid1790731081KY

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

Adam Andrew Loose Dnp 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 ID3476882085
PECOS Enrollment IDI20201123001438
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.

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
$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.

60.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality18.81
Improvement Activities40
Cost99.79

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.

Community Health Worker
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511
Counselor (Mental Health)
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511
Social Worker
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511
Peer Specialist
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511
Social Worker
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511
Community Health Worker
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511
Social Worker
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511
Peer Specialist
1351 NEWTOWN PIKE BLDG 1
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 Adam Loose's NPI number?

The NPI number for Adam Loose is 1295216091. It was assigned to this individual provider in the NPPES registry on August 28, 2018.

Where is Adam Loose located?

Adam Loose practices at 1351 Newtown Pike Bldg 1, Lexington, KY 40511. The listed phone number is (859) 253-1686.

What is Adam Loose's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Adam Loose enrolled in Medicare?

Yes. Adam Loose 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 Adam Loose accept?

Health plans from CareSource list Adam Loose 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 Adam Loose was last updated on June 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.