SUSAN KAY WHITTINGTON APRN
NPI 1295496750
Nurse Practitioner - Family in La Grange, KY

Active since January 06, 2022PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
2835 S HIGHWAY 393, LA GRANGE, KY 40031(502) 530-4812(502) 530-4813 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Susan Kay Whittington Aprn NPPES

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

SUSAN KAY WHITTINGTON APRN (NPI 1295496750) is an individual family provider in La Grange, Kentucky, licensed in Kentucky (3017215) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Lagrange, and maintains a secondary practice location in Prospect.

NPPES Registry Identity

NPI1295496750
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSUSAN KAY WHITTINGTONCredential: APRN
Location Address2835 S HIGHWAY 393La Grange, KY 40031-9613
Mailing AddressPo Box 932958Cleveland, OH 44193-0028
Fax(502) 530-4813
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 6, 2022
Last NPPES UpdateApril 29, 2025
NPPES CertifiedApril 29, 2025
NPI 1295496750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in KY · 3017215
2835 S HIGHWAY 393, La Grange, KY 40031

Secondary Practice Location 1

Location 15929 Timber Ridge DrProspect, KY 40059-8132 · Phone (502) 228-2507

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

Susan Kay Whittington 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 ID9436543923
PECOS Enrollment IDI20220226000140, I20220517001080
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 4

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
37 services34 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
30 services30 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
29 services29 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
26 services26 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Lagrange

Acute Care Hospitals · La Grange, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180138
Location1025 New Moody LaneLa Grange, KY 40031 · Oldham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40031 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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2835 S HIGHWAY 393
LA GRANGE, KY 40031
Nurse Practitioner (Family)
2835 S HIGHWAY 393
LA GRANGE, KY 40031
Nurse Practitioner (Family)
2835 S HIGHWAY 393
LA GRANGE, KY 40031
Pharmacy (Community/Retail Pharmacy)
2835 S HIGHWAY 393
LA GRANGE, KY 40031
Pharmacist
2835 S HIGHWAY 393
LA GRANGE, KY 40031

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 Susan Whittington's NPI number?

The NPI number for Susan Whittington is 1295496750. It was assigned to this individual provider in the NPPES registry on January 6, 2022.

Where is Susan Whittington located?

Susan Whittington practices at 2835 S Highway 393, La Grange, KY 40031. The listed phone number is (502) 530-4812.

What is Susan Whittington's specialty?

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

Is Susan Whittington enrolled in Medicare?

Yes. Susan Whittington 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 Susan Whittington accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Susan Whittington 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 Susan Whittington affiliated with any hospitals?

According to CMS data, Susan Whittington is affiliated with Baptist Health Lagrange.

When was this NPI record last updated?

The NPPES record for Susan Whittington was last updated on April 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.