LEA D HAMILTON APRN
NPI 1366197238
Nurse Practitioner - Family in Louisville, KY

Active since February 18, 2022PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
3605 FERN VALLEY RD, LOUISVILLE, KY 40219(502) 964-4889 Get Directions Write a Review

NPPES record last updated: March 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 4, 2025, Feb 18, 2022 (2 updates tracked since 2022).

About Lea D Hamilton Aprn NPPES

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

LEA D HAMILTON APRN (NPI 1366197238) is an individual family provider in Louisville, Kentucky, licensed in Kentucky (3017455) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Floyd, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1366197238
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLEA D HAMILTONCredential: APRN
Location Address3605 FERN VALLEY RDLouisville, KY 40219-1916
Mailing Address3605 Fern Valley RdLouisville, KY 40219-1916 · (502) 928-0915
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 18, 2022
Last NPPES UpdateMarch 4, 20252 updates tracked since enumeration
NPPES CertifiedMarch 4, 2025
NPI 1366197238 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 · 3017455
3605 FERN VALLEY RD, Louisville, KY 40219

Other Names 1

Former Name (1)Lea D Hardy

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

Lea D Hamilton 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 ID5193110856
PECOS Enrollment IDI20220315002171, I20240405000480
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 3

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
155 services152 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
21 services17 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Floyd

Acute Care Hospitals · New Albany, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150044
Location1850 State StNew Albany, IN 47150 · Floyd County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40219 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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

Physician Assistant
3605 FERN VALLEY RD
LOUISVILLE, KY 40219
Nurse Practitioner
3605 FERN VALLEY RD
LOUISVILLE, KY 40219

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 Lea Hamilton's NPI number?

The NPI number for Lea Hamilton is 1366197238. It was assigned to this individual provider in the NPPES registry on February 18, 2022. The provider is also known as Lea D Hardy.

Where is Lea Hamilton located?

Lea Hamilton practices at 3605 Fern Valley Rd, Louisville, KY 40219. The listed phone number is (502) 964-4889.

What is Lea Hamilton's specialty?

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

Is Lea Hamilton enrolled in Medicare?

Yes. Lea Hamilton 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 Lea Hamilton accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource and 1 other insurer list Lea Hamilton 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 Lea Hamilton affiliated with any hospitals?

According to CMS data, Lea Hamilton is affiliated with Baptist Health Floyd.

When was this NPI record last updated?

The NPPES record for Lea Hamilton was last updated on March 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.