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LORIE MICHELLE WARDLOW APRN
NPI 1336111673
Nurse Practitioner - Adult Health in Brownsville, KY

Active since February 02, 2006PECOS Enrolled
1573 KY HIGHWAY 259 N, BROWNSVILLE, KY 42210(270) 597-2168(270) 597-2168 Get Directions Write a Review

NPPES record last updated: December 22, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lorie Michelle Wardlow Aprn NPPES

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

LORIE MICHELLE WARDLOW APRN (NPI 1336111673) is an individual adult health provider in Brownsville, Kentucky, licensed in Kentucky (4434P) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336111673
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameLORIE MICHELLE WARDLOWCredential: APRN
Location Address1573 KY HIGHWAY 259 NBrownsville, KY 42210-9206
Mailing Address427 Us 31w BypBowling Green, KY 42101-1703 · (270) 796-8000 · Fax (270) 796-8000
Phone(270) 597-2168
Fax(270) 597-2168
Sole ProprietorNo
Enumeration DateFebruary 2, 2006
Last NPPES UpdateDecember 22, 2014
✔ NPI 1336111673 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 · 4434P
1573 KY HIGHWAY 259 N, Brownsville, KY 42210
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINQ58325KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lorie Michelle Wardlow Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Lorie Wardlow reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Caremed Health Solutions Of Kentucky, LLC
217 mi
Multi-Specialty
1820 OAKVIEW RD
Ashland, KY 41101
  • Reassigned Medicare billing, Kentucky enrollment
  • 75 clinicians in this Medicare group
NPI 1326789462 (845) 521-9991
Provider Partners Care Management LP
534 mi
Nurse Practitioner
8820 COLUMBIA 100 PKWY STE 430
Columbia, MD 21045
  • Reassigned Medicare billing, Kentucky enrollment
  • 100 clinicians in this Medicare group
NPI 1013348028 (443) 275-9800

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 6

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.
1,374 services84 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.
287 services72 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.
70 services40 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
69 services51 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
48 services45 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
22 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42210 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 4

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

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier35 claims1,056 services$6.53 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
1 supplier16 claims7,445 services$0.43 avg. paid by Medicare
Enteral nutrition infusion pump, any type B9002
Other-Enteral and Parenteral · category OB005N
1 supplier22 claims22 services$71.45 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier28 claims28 services$20.83 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

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

TORI L ROBINSON APRN
Nurse Practitioner (Family)
1573 KY HIGHWAY 259 N
BROWNSVILLE, KY 42210
Edmonson County (270) 796-8000

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 Lorie Wardlow's NPI number?

The NPI number for Lorie Wardlow is 1336111673. It was assigned to this individual provider in the NPPES registry on February 2, 2006.

Where is Lorie Wardlow located?

Lorie Wardlow practices at 1573 Ky Highway 259 N, Brownsville, KY 42210. The listed phone number is (270) 597-2168.

What is Lorie Wardlow's specialty?

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

Is Lorie Wardlow enrolled in Medicare?

Yes. Lorie Wardlow is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Lorie Wardlow's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lorie Wardlow reassigns Medicare benefits to 2 organizations: Caremed Health Solutions Of Kentucky, LLC (Ashland, KY) and Provider Partners Care Management LP (Columbia, MD). 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 Lorie Wardlow's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lorie Wardlow accept?

Health plans from Anthem Blue Cross and Blue Shield list Lorie Wardlow 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 Lorie Wardlow was last updated on December 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.