MS. BIANCA YVETTE WHITLOW APRN
NPI 1316643000
Nurse Practitioner - Adult Health in Lexington, KY

Active since February 03, 2023PECOS EnrolledAccepts Medicare Assignment
1780 NICHOLASVILLE RD STE 202, LEXINGTON, KY 40503(859) 260-5051(859) 260-5052 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 25, 2024, Mar 7, 2023, Feb 3, 2023 (3 updates tracked since 2023).

About Ms. Bianca Yvette Whitlow Aprn NPPES

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

MS. BIANCA YVETTE WHITLOW APRN (NPI 1316643000) is an individual adult health provider in Lexington, Kentucky, licensed in Kentucky (3018537) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Richmond, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1316643000
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMS. BIANCA YVETTE WHITLOWCredential: APRN
Location Address1780 NICHOLASVILLE RD STE 202Lexington, KY 40503-1412
Mailing Address1780 Nicholasville Rd Ste 202Lexington, KY 40503-1412 · (859) 260-5051 · Fax (859) 260-5052
Fax(859) 260-5052
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 3, 2023
Last NPPES UpdateOctober 31, 20243 updates tracked since enumeration
NPPES CertifiedOctober 31, 2024
NPI 1316643000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in KY · 3018537
1780 NICHOLASVILLE RD STE 202, Lexington, KY 40503

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

Ms. Bianca Yvette Whitlow 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 ID7416320908
PECOS Enrollment IDI20230303000681
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.
100 services88 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
44 services40 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
31 services29 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Health Richmond

Acute Care Hospitals · Richmond, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180049
Location801 Eastern BypassRichmond, KY 40475 · Madison 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

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.

Other Providers at the Same Location NPPES 4

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

Internal Medicine (Gastroenterology)
1780 NICHOLASVILLE RD STE 202
LEXINGTON, KY 40503
Internal Medicine (Gastroenterology)
1780 NICHOLASVILLE RD STE 202
LEXINGTON, KY 40503
Internal Medicine (Gastroenterology)
1780 NICHOLASVILLE RD STE 202
LEXINGTON, KY 40503
Nurse Practitioner (Family)
1780 NICHOLASVILLE RD STE 202
LEXINGTON, KY 40503

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 Bianca Whitlow's NPI number?

The NPI number for Bianca Whitlow is 1316643000. It was assigned to this individual provider in the NPPES registry on February 3, 2023.

Where is Bianca Whitlow located?

Bianca Whitlow practices at 1780 Nicholasville Rd Ste 202, Lexington, KY 40503. The listed phone number is (859) 260-5051.

What is Bianca Whitlow's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Bianca Whitlow enrolled in Medicare?

Yes. Bianca Whitlow 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 Bianca Whitlow accept?

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

According to CMS data, Bianca Whitlow is affiliated with Baptist Health Richmond and Baptist Health Lexington.

When was this NPI record last updated?

The NPPES record for Bianca Whitlow was last updated on October 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.