LORI L EDMONDS ARNP
NPI 1396722559
Nurse Practitioner in Louisville, KY

Q: What is Lori Edmonds's NPI number?

The NPI number for Lori Edmonds is 1396722559. It was assigned to this individual provider in the NPPES registry on December 29, 2005. The provider is also known as Lori L Degraffenreid Aprn.

Q: What is Lori Edmonds's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Lori Edmonds was last updated on October 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since December 29, 2005PECOS EnrolledAccepts Medicare Assignment

76.7/100

CMS Quality Rating

4130 DUTCHMANS LN, SUITE 300, LOUISVILLE, KY 40207(502) 897-1794(502) 238-1286 Get Directions Write a Review

NPPES record last updated: October 17, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Lori L Edmonds Arnp NPPES

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

LORI L EDMONDS ARNP (NPI 1396722559) is an individual nurse practitioner in Louisville, Kentucky, licensed in Kentucky (3004706) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Louisville, and is a graduate of University Of Louisville School Of Medicine (2005).

NPPES Registry Identity

NPI1396722559

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameLORI L EDMONDSCredential: ARNP

Location Address4130 DUTCHMANS LN, SUITE 300Louisville, KY 40207-4713

Mailing Address4130 Dutchmans Ln, Suite 300Louisville, KY 40207-4713 · (502) 897-1794 · Fax (502) 238-1286

Phone(502) 897-1794

Fax(502) 238-1286

Sole ProprietorNo

Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2005

Enumeration DateDecember 29, 2005

Last NPPES UpdateOctober 17, 2016

✔ NPI 1396722559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in KY · 3004706✔ Licensed in IN · 71005529A✔ Licensed in IN · 71005529B

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

4130 DUTCHMANS LN, Louisville, KY 40207

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Other Names 1

Former Name (1)Lori L Degraffenreid Aprn

Other Identifiers 5

Medicaid7100145280KY

Medicare UPINQ56337

Medicare PIN1920015IN

Medicaid201078540IN

Medicare PIN1277617KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Lori L Edmonds Arnp 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 ID9537188800

PECOS Enrollment IDI20051116000078, I20150723006628

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 15

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

720 services86 patients

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.

459 services289 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

439 services322 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

177 services133 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

173 services128 patients

Aspiration and/or injection of fluid from medium joint 20605

This procedure involves a needle being inserted into a medium-sized joint, such as a knee or shoulder, to remove (aspirate) excess fluid. Sometimes, medication may also be injected into the joint to reduce inflammation and pain.

121 services57 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.

75 services75 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.

66 services59 patients

X-ray of ankle, 2 views 73600

An X-ray of the ankle, 2 views, is a quick, painless test that produces images of the bones and joints in your ankle. Two different angles are used to provide a more complete picture. It helps detect fractures, sprains, arthritis, or other abnormalities. It's safe and typically takes only a few minutes.

44 services40 patients

Application of short leg cast 29405

The application of a short leg cast is a procedure to stabilize and support the lower leg or foot after an injury. A special material is wrapped around the leg, hardening to form a protective shell. This helps to keep the bones in place, reduce pain, and promote healing.

32 services27 patients

Cast supplies, short leg cast, adult (11 years +), fiberglass Q4038

A short leg cast, made of fiberglass, is used for adults and children aged 11 and up. It's a supportive structure for the lower leg, often used when a bone is broken. The fiberglass material is lightweight, durable, and can be molded to fit your leg comfortably.

31 services26 patients

X-ray of foot, 2 views 73620

An X-ray of the foot, 2 views, is a quick, painless test that produces images of the bones and structures inside your foot. Two different angles are used to provide a comprehensive view. This helps doctors diagnose fractures, infections, or other abnormalities.

26 services25 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

22 services21 patients

X-ray of heel, minimum of 2 views 73650

An X-ray of the heel, minimum of 2 views, is a diagnostic procedure where safe radiation beams capture images of your heel from at least two different angles. This helps in identifying issues such as fractures, bone spurs, or arthritis. You'll remain still while the images are taken.

16 services13 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Louisville

Acute Care Hospitals · Louisville, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180130

Location4000 Kresge WayLouisville, KY 40207 · Jefferson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40207 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.

76.7/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

61.45

Promoting Interoperability

Improvement Activities

Reported Quality Measures

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

96%2,538 patients4/55-star benchmark: 100%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

80%312 patients3/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period

11%539 patients1/55-star benchmark: 99%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

96%1,206 patients4/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

22%1,870 patients1/55-star benchmark: 99%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

72%539 patients4/55-star benchmark: 90%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

23%1,540 patients1/55-star benchmark: 97%

Preventive Care and Screening: Influenza Immunization

Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization

62%531 patients3/55-star benchmark: 88%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

Patients tobacco: 92% · 625 patients

98%625 patients

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

90%1,870 patients4/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

21%1,870 patients2/55-star benchmark: 59%

Use of High-Risk Medications in the Elderly

Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.

Lower rates are better for this measure.

Patients 2+: 0% · 539 patients

2%539 patients4/55-star benchmark: 100%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

26%1,870 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

REBECCA JO KOSTYO APRN

Nurse Practitioner

4130 DUTCHMANS LN, STE 300
LOUISVILLE, KY 40207

Jefferson County (502) 897-1794

LOUISVILLE ORTHOPAEDIC SURGERY CENTER PLLC

Clinic/Center (Ambulatory Surgical)

4130 DUTCHMANS LN, SUITE 200
LOUISVILLE, KY 40207

Jefferson County (502) 897-2804

GEORGE E QUILL JR. MD

Orthopaedic Surgery

4130 DUTCHMANS LN, STE 202
LOUISVILLE, KY 40207

Jefferson County (502) 897-1794

PATRICK D THOMPSON P.T.

Physical Therapist

4130 DUTCHMANS LN, SUITE 300
LOUISVILLE, KY 40207

Jefferson County (502) 897-1794

MR. MICHAEL JEROME MEHRING JR. MS, ATC

Specialist/Technologist (Athletic Trainer)

4130 DUTCHMANS LN, SUITE 100
LOUISVILLE, KY 40207

Jefferson County (502) 897-1790

ERIN E FIDLER LPT

Physical Therapist

4130 DUTCHMANS LN, SUITE 300
LOUISVILLE, KY 40207

Jefferson County (502) 897-1794

GEORGE W ROBERTSON M.D.

Obstetrics & Gynecology

4130 DUTCHMANS LN, STE 400
LOUISVILLE, KY 40207

Jefferson County (502) 897-0697

NICHOLAS AARON RYAN MD

Obstetrics & Gynecology

4130 DUTCHMANS LN, SUITE 400
LOUISVILLE, KY 40207

Jefferson County (502) 897-0697

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 Lori Edmonds's NPI number?

The NPI number for Lori Edmonds is 1396722559. It was assigned to this individual provider in the NPPES registry on December 29, 2005. The provider is also known as Lori L Degraffenreid Aprn.

Where is Lori Edmonds located?

Lori Edmonds practices at 4130 Dutchmans Ln Suite 300, Louisville, KY 40207. The listed phone number is (502) 897-1794.

What is Lori Edmonds's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Lori Edmonds enrolled in Medicare?

Yes. Lori Edmonds 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 Lori Edmonds accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Lori Edmonds 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 Lori Edmonds affiliated with any hospitals?

According to CMS data, Lori Edmonds is affiliated with Baptist Health Louisville.

When was this NPI record last updated?

The NPPES record for Lori Edmonds was last updated on October 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.