KATHLEEN TIERNEY LANHAM MSN, APRN, NP-C
NPI 1295388221
Nurse Practitioner - Family in Louisville, KY

Active since July 18, 2019PECOS EnrolledAccepts Medicare Assignment
2120 PAYNE ST, LOUISVILLE, KY 40206(502) 552-8597 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 1, 2026, Apr 6, 2022, Jul 18, 2019 (3 updates tracked since 2019).

About Kathleen Tierney Lanham Msn, Aprn, Np-c NPPES

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

KATHLEEN TIERNEY LANHAM MSN, APRN, NP-C (NPI 1295388221) is an individual family provider in Louisville, Kentucky, licensed in Kentucky (3013063) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Louisville, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1295388221
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHLEEN TIERNEY LANHAMCredential: MSN, APRN, NP-C
Location Address2120 PAYNE STLouisville, KY 40206-2012
Mailing AddressPo Box 3276Evansville, IN 47731-3276 · (812) 473-0181 · Fax (812) 473-5822
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 18, 2019
Last NPPES UpdateJune 1, 20263 updates tracked since enumeration
NPPES CertifiedJune 1, 2026
✔ NPI 1295388221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 3013063
Also ListedNurse PractitionerTaxonomy 363L00000X · License 3013063 (KY)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 3013063 (KY)
2120 PAYNE ST, Louisville, KY 40206

Secondary Practice Location 1

Location 16200 Dutchmans LnLouisville, KY 40205-3271 · Phone (502) 456-6200 · Fax (502) 456-6655

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

Kathleen Tierney Lanham Msn, Aprn, Np-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 ID244562429
PECOS Enrollment IDI20191022001172
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

7

Medicare enrollment records show Kathleen Lanham reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
6200 DUTCHMANS LN
Louisville, KY 40205
  • Reassigned Medicare billing, Kentucky enrollment
  • 9 clinicians in this Medicare group
Family
5516 RANDOM WAY
Louisville, KY 40291
  • Reassigned Medicare billing, Kentucky enrollment
  • 4 clinicians in this Medicare group
Pediatrics
13050 MAGISTERIAL DR STE 100
Louisville, KY 40223
  • Reassigned Medicare billing, Kentucky enrollment
  • 2 clinicians in this Medicare group
Primary Care
2109 CLUB VISTA PL
Louisville, KY 40245
  • Reassigned Medicare billing, Kentucky enrollment
  • 10 clinicians in this Medicare group
Primary Care
1050 CHINOE RD STE 350
Lexington, KY 40502
  • Reassigned Medicare billing, Kentucky enrollment
  • 24 clinicians in this Medicare group
Nurse Practitioner
1752 HIGHWAY 192 W, SUITE 1
London, KY 40741
  • Reassigned Medicare billing, Kentucky enrollment
  • 362 clinicians in this Medicare group
Nurse Practitioner
8820 COLUMBIA 100 PKWY STE 430
Columbia, MD 21045
  • Reassigned Medicare billing, Kentucky enrollment
  • 100 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.

Areas of Expertise CMS Part B claims 8

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
188 services92 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
99 services56 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
48 services30 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
45 services28 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
25 services21 patients
Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347
An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.
20 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40206 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.

Referred Medical Equipment & Supplies CMS DME claims

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

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
1 supplier11 claims11 services$62.67 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 7

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

Skilled Nursing Facility
2120 PAYNE ST
LOUISVILLE, KY 40206
Nursing Facility/Intermediate Care Facility
2120 PAYNE ST
LOUISVILLE, KY 40206
Occupational Therapy Assistant
2120 PAYNE ST
LOUISVILLE, KY 40206
Nurse Practitioner
2120 PAYNE ST
LOUISVILLE, KY 40206
Clinic/Center (Adult Day Care)
2120 PAYNE ST
LOUISVILLE, KY 40206
Nurse Practitioner (Family)
2120 PAYNE ST
LOUISVILLE, KY 40206
Clinic/Center (Adult Day Care)
2120 PAYNE ST
LOUISVILLE, KY 40206

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 Kathleen Lanham's NPI number?

The NPI number for Kathleen Lanham is 1295388221. It was assigned to this individual provider in the NPPES registry on July 18, 2019.

Where is Kathleen Lanham located?

Kathleen Lanham practices at 2120 Payne St, Louisville, KY 40206. The listed phone number is (502) 552-8597.

What is Kathleen Lanham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kathleen Lanham enrolled in Medicare?

Yes. Kathleen Lanham 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 Kathleen Lanham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Lanham reassigns Medicare benefits to 7 organizations: Care Guide Partners Medical Services, LLC (Louisville, KY), Skg Health PLLC (Louisville, KY), Trifecta Medical Group PLLC (Louisville, KY), Sandeep Kapoor, PLLC (Louisville, KY), Exceptional Care Services LLC (Lexington, KY) and 2 more organizations, listed in the Medicare section above. 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 Kathleen Lanham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathleen Lanham accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Kathleen Lanham 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 Kathleen Lanham was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.