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DESTINY LACE BLUE APRN, FNP-C
NPI 1376495036
Nurse Practitioner - Family in London, KY

Active since February 13, 2026PECOS Enrolled
1907 E PITTSBURG CHURCH RD, LONDON, KY 40741(606) 389-5269 Get Directions Write a Review

NPPES record last updated: April 26, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 26, 2026, Mar 30, 2026 (2 updates tracked since 2026).

About Destiny Lace Blue Aprn, Fnp-c NPPES

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

DESTINY LACE BLUE APRN, FNP-C (NPI 1376495036) is an individual family provider in London, Kentucky, licensed in Kentucky (4053035) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1376495036
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDESTINY LACE BLUECredential: APRN, FNP-C
Location Address1907 E PITTSBURG CHURCH RDLondon, KY 40741-9047
Mailing Address1907 E Pittsburg Church RdLondon, KY 40741-9047
Phone(606) 389-5269
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateFebruary 13, 2026
Last NPPES UpdateApril 26, 20262 updates tracked since enumeration
NPPES CertifiedApril 26, 2026
✔ NPI 1376495036 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 · 4053035
1907 E PITTSBURG CHURCH RD, London, KY 40741
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Destiny Lace Blue Aprn, Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5698243699
PECOS Enrollment IDI20260507003439
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40741 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.

MISS SAMANTHA NICOLE REID BS, LPCC
Counselor (Mental Health)
1907 E PITTSBURG CHURCH RD
LONDON, KY 40741
Laurel County (606) 389-5269
STEPHANIE ANN SHORT APRN
Nurse Practitioner (Psychiatric/Mental Health)
1907 E PITTSBURG CHURCH RD
LONDON, KY 40741
Laurel County (606) 389-5269
S & S BEHAVIORAL HEALTH, LLC
Clinic/Center (Rural Health)
1907 E PITTSBURG CHURCH RD
LONDON, KY 40741
Laurel County (606) 389-5269
S & S BEHAVIORAL HEALTH, LLC
Clinic/Center (Primary Care)
1907 E PITTSBURG CHURCH RD
LONDON, KY 40741
Laurel County (606) 389-5269

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 Destiny Blue's NPI number?

The NPI number for Destiny Blue is 1376495036. It was assigned to this individual provider in the NPPES registry on February 13, 2026.

Where is Destiny Blue located?

Destiny Blue practices at 1907 E Pittsburg Church Rd, London, KY 40741. The listed phone number is (606) 389-5269.

What is Destiny Blue's specialty?

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

Is Destiny Blue enrolled in Medicare?

Yes. Destiny Blue is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Destiny Blue was last updated on April 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.