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SUSIE K PRUITT APRN
NPI 1508155136
Nurse Practitioner - Family in Lexington, KY

Active since April 05, 2011PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
2040 HARRODSBURG RD STE 200, LEXINGTON, KY 40503(859) 899-7993 Get Directions Write a Review

NPPES record last updated: May 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 8, 2025, Apr 29, 2024, Dec 11, 2020 and 2 more (5 updates tracked since 2017).

About Susie K Pruitt Aprn NPPES

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

SUSIE K PRUITT APRN (NPI 1508155136) is an individual family provider in Lexington, Kentucky, licensed in Kentucky (3006841) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Lexington, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1508155136
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSUSIE K PRUITTCredential: APRN
Location Address2040 HARRODSBURG RD STE 200Lexington, KY 40503-1714
Mailing Address5200 Commerce Crossings Dr Fl 3Louisville, KY 40229-2182 · (502) 253-4924 · Fax (502) 489-5750
Phone(859) 899-7993
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateApril 5, 2011
Last NPPES UpdateMay 8, 20255 updates tracked since enumeration
NPPES CertifiedMay 8, 2025
✔ NPI 1508155136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 3006841
Also ListedNurse PractitionerTaxonomy 363L00000X · License 3006841 (KY)
2040 HARRODSBURG RD STE 200, Lexington, KY 40503
Open in Google Maps ↗

Other Names 1

Former Name (1)Ms. Susie K Copeland Aprn

Other Identifiers 1

Medicaid7100161320KY

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

Susie K Pruitt 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 ID9638354590
PECOS Enrollment IDI20110420000051
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 8

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.
78 services78 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
39 services39 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
35 services35 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.
29 services29 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
27 services27 patients
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b 87636
This test detects the presence of SARS-CoV-2 (COVID-19) and Influenza types A and B in your body. It uses a method called the multiplex amplified probe technique to amplify and identify specific virus genes. It helps in early diagnosis and appropriate treatment.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180103
Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40503 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 4

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

KATELYNN MICHELLE ROGERS
Nurse Practitioner (Family)
2040 HARRODSBURG RD STE 200
LEXINGTON, KY 40503
Fayette County (859) 899-7993
JAMES GRANT HOWARD M.D.
Family Medicine
2040 HARRODSBURG RD STE 200
LEXINGTON, KY 40503
Fayette County (859) 899-7994
SARAH BETH BROWN APRN
Nurse Practitioner (Family)
2040 HARRODSBURG RD STE 200
LEXINGTON, KY 40503
Fayette County (859) 899-7994
MRS. STEFANIE BROCK BAKER PA-C
Physician Assistant
2040 HARRODSBURG RD STE 200
LEXINGTON, KY 40503
Fayette County (859) 899-7993

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 Susie Pruitt's NPI number?

The NPI number for Susie Pruitt is 1508155136. It was assigned to this individual provider in the NPPES registry on April 5, 2011. The provider is also known as Ms. Susie K Copeland Aprn.

Where is Susie Pruitt located?

Susie Pruitt practices at 2040 Harrodsburg Rd Ste 200, Lexington, KY 40503. The listed phone number is (859) 899-7993.

What is Susie Pruitt's specialty?

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

Is Susie Pruitt enrolled in Medicare?

Yes. Susie Pruitt 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 Susie Pruitt accept?

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

According to CMS data, Susie Pruitt is affiliated with Baptist Health Lexington.

When was this NPI record last updated?

The NPPES record for Susie Pruitt was last updated on May 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.