DELFINA NEWSOME APRN
NPI 1467886705
Nurse Practitioner - Family in South Williamson, KY

Q: What is Delfina Newsome's NPI number?

The NPI number for Delfina Newsome is 1467886705. It was assigned to this individual provider in the NPPES registry on August 22, 2013.

Q: What is Delfina Newsome's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Delfina Newsome was last updated on September 22, 2022. 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.

Active since August 22, 2013PECOS EnrolledAccepts Medicare Assignment

86.86/100

CMS Quality Rating

285 SOUTHSIDE MALL RD, SOUTH WILLIAMSON, KY 41503(606) 430-2226(606) 237-7530 Get Directions Write a Review

NPPES record last updated: September 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 22, 2022, Apr 7, 2021, Sep 12, 2019 (3 updates tracked since 2019).

On this page

About Delfina Newsome Aprn NPPES

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

DELFINA NEWSOME APRN (NPI 1467886705) is an individual family provider in South Williamson, Kentucky, licensed in Kentucky (3008251) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS, is affiliated with Pikeville Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1467886705

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameDELFINA NEWSOMECredential: APRN

Location Address285 SOUTHSIDE MALL RDSouth Williamson, KY 41503-3905

Mailing AddressPo Box 432Pikeville, KY 41502-0432 · (606) 430-2226 · Fax (606) 237-7530

Phone(606) 430-2226

Fax(606) 237-7530

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateAugust 22, 2013

Last NPPES UpdateSeptember 22, 20223 updates tracked since enumeration

NPPES CertifiedSeptember 22, 2022

✔ NPI 1467886705 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 · 3008251

285 SOUTHSIDE MALL RD, South Williamson, KY 41503

Open in Google Maps ↗

Other Identifiers 1

Medicaid7100254490KY

Accepted Insurance

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

Delfina Newsome 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 ID1355575879

PECOS Enrollment IDI20131015002186

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.

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.

390 services152 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.

185 services123 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.

15 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Pikeville Medical Center

Acute Care Hospitals · Pikeville, KY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180044

Location911 Bypass RoadPikeville, KY 41501 · Pike County

Emergency services Birthing friendly

Tug Valley Arh Regional Medical Center

Acute Care Hospitals · South Williamson, KY

1/5 CMS rating

OwnershipProprietary

CMS Certification Number180069

Location260 Hospital DriveSouth Williamson, KY 41503 · Pike County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41503 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.

86.86/100

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

Scored as part of a group practice

Quality

72.39

Promoting Interoperability

100

Improvement Activities

Cost

70.65

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.

Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each A4414

DME-Orthotic Devices · category DF010N

1 supplier12 claims130 services$4.38 avg. paid by Medicare

Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425

DME-Orthotic Devices · category DF010N

1 supplier13 claims240 services$2.89 avg. paid by Medicare

Adhesive remover, wipes, any type, each A4456

DME-Medical/Surgical Supplies · category DA000N

1 supplier15 claims850 services$0.22 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier11 claims11 services$3.41 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 2

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

SHOBHA HARIDAS MD

Pediatrics

285 SOUTHSIDE MALL RD
SOUTH WILLIAMSON, KY 41503

Pike County (606) 430-2226

WHITNEY NICOLE BRINAGER APRN

Nurse Practitioner

285 SOUTHSIDE MALL RD
SOUTH WILLIAMSON, KY 41503

Pike County (606) 237-3969

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 Delfina Newsome's NPI number?

The NPI number for Delfina Newsome is 1467886705. It was assigned to this individual provider in the NPPES registry on August 22, 2013.

Where is Delfina Newsome located?

Delfina Newsome practices at 285 Southside Mall Rd, South Williamson, KY 41503. The listed phone number is (606) 430-2226.

What is Delfina Newsome's specialty?

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

Is Delfina Newsome enrolled in Medicare?

Yes. Delfina Newsome 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 Delfina Newsome accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Delfina Newsome 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 Delfina Newsome affiliated with any hospitals?

According to CMS data, Delfina Newsome is affiliated with Pikeville Medical Center and Tug Valley Arh Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Delfina Newsome was last updated on September 22, 2022. 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.