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SARAH ELAINE EPLION APRN, FNP-BC
NPI 1427529130
Nurse Practitioner - Family in Ashland, KY

Active since December 07, 2018PECOS EnrolledAccepts Medicare Assignment
82.94/100
CMS Quality Rating
617 23RD ST STE 19, ASHLAND, KY 41101(606) 325-2221(606) 324-1326 Get Directions Write a Review

NPPES record last updated: March 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 16, 2023, Dec 7, 2018 (2 updates tracked since 2018).

About Sarah Elaine Eplion Aprn, Fnp-bc NPPES

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

SARAH ELAINE EPLION APRN, FNP-BC (NPI 1427529130) is an individual family provider in Ashland, Kentucky, licensed in Kentucky (3019049) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS, is affiliated with King's Daughters' Medical Center, and maintains a secondary practice location in Charleston.

NPPES Registry Identity

NPI1427529130
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSARAH ELAINE EPLIONCredential: APRN, FNP-BC
Location Address617 23RD ST STE 19Ashland, KY 41101-2845
Mailing AddressPo Box 2379Ashland, KY 41105-2379
Phone(606) 325-2221
Fax(606) 324-1326
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 7, 2018
Last NPPES UpdateMarch 16, 20232 updates tracked since enumeration
NPPES CertifiedMarch 16, 2023
✔ NPI 1427529130 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
Licenses✔ Licensed in KY · 3019049✔ Licensed in WV · APRN73590-FNP-BC
617 23RD ST STE 19, Ashland, KY 41101
Open in Google Maps ↗

Secondary Practice Location 1

Location 13415 MacCorkle Ave SECharleston, WV 25304-1334 · Phone (304) 388-8380 · Fax (304) 388-8395

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

Sarah Elaine Eplion Aprn, Fnp-bc 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 ID42556136
PECOS Enrollment IDI20230325000131
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 2

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 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.
25 services22 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

King's Daughters' Medical Center

Acute Care Hospitals · Ashland, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180009
Location2201 Lexington AvenueAshland, KY 41101 · Boyd County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41101 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.

82.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.01
Promoting Interoperability100
Improvement Activities40
Cost65.57

Other Providers at the Same Location NPPES 8

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

SUSAN ALIFF APRN
Nurse Practitioner (Family)
617 23RD ST STE 19
ASHLAND, KY 41101
Boyd County (606) 325-2221
KINGS DAUGHTERS MEDCIAL SPECIALTIES INC
Internal Medicine (Hematology & Oncology)
617 23RD ST STE 19
ASHLAND, KY 41101
Boyd County (606) 325-2221
VINAY VERMANI M.D.
Internal Medicine (Hematology & Oncology)
617 23RD ST STE 19
ASHLAND, KY 41101
Boyd County (606) 325-2221
DR. MARY KATHERINE HUGHES M.D.
Surgery (Surgical Oncology)
617 23RD ST STE 19
ASHLAND, KY 41101
Boyd County (606) 325-2221
EVA JOSEPH APRN
Nurse Practitioner (Family)
617 23RD ST STE 19
ASHLAND, KY 41101
Boyd County (606) 325-2221
MRS. WENDI RENEE HANNA FNP
Nurse Practitioner (Family)
617 23RD ST STE 19
ASHLAND, KY 41101
Boyd County (606) 325-2221
GALENA SALEM M.D.
Internal Medicine (Hematology & Oncology)
617 23RD ST STE 19
ASHLAND, KY 41101
Boyd County (606) 325-2221
LINDSAY DIONE MONTGOMERY PA-C
Physician Assistant
617 23RD ST STE 19
ASHLAND, KY 41101
Boyd County (606) 325-2221

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 Sarah Eplion's NPI number?

The NPI number for Sarah Eplion is 1427529130. It was assigned to this individual provider in the NPPES registry on December 7, 2018.

Where is Sarah Eplion located?

Sarah Eplion practices at 617 23rd St Ste 19, Ashland, KY 41101. The listed phone number is (606) 325-2221.

What is Sarah Eplion's specialty?

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

Is Sarah Eplion enrolled in Medicare?

Yes. Sarah Eplion 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 Sarah Eplion accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare list Sarah Eplion 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 Sarah Eplion affiliated with any hospitals?

According to CMS data, Sarah Eplion is affiliated with King's Daughters' Medical Center.

When was this NPI record last updated?

The NPPES record for Sarah Eplion was last updated on March 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.