JUSTIN NEWSOME MSN, APRN, FNP-BC
NPI 1518586478
Nurse Practitioner - Family in Georgetown, KY

Active since April 10, 2020PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
106 MARKET PLACE CIR, GEORGETOWN, KY 40324(859) 317-6075 Get Directions Write a Review

NPPES record last updated: April 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 18, 2021, Dec 7, 2020, Apr 10, 2020 (3 updates tracked since 2020).

About Justin Newsome Msn, Aprn, Fnp-bc NPPES

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

JUSTIN NEWSOME MSN, APRN, FNP-BC (NPI 1518586478) is an individual family provider in Georgetown, Kentucky, licensed in Kentucky (3014486) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Lexington, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1518586478
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJUSTIN NEWSOMECredential: MSN, APRN, FNP-BC
Location Address106 MARKET PLACE CIRGeorgetown, KY 40324-7400
Mailing AddressPo Box 932958Cleveland, OH 44193-0028
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateApril 10, 2020
Last NPPES UpdateApril 16, 20253 updates tracked since enumeration
NPPES CertifiedApril 16, 2025
NPI 1518586478 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 · 3014486 Licensed in TN · 28707
106 MARKET PLACE CIR, Georgetown, KY 40324

Other Identifiers 5

Other2019079870National Certification
Other28707TN · Aprn License Number
Other3014486KY · License Number
Other3-000161AL · License Number
Other0024180626VA · License Number

Accepted 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

Justin Newsome Msn, 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 ID4486085941
PECOS Enrollment IDI20210112002305
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 6

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.
54 services43 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.
35 services35 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
16 services16 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.
15 services15 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
15 services15 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.
11 services11 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 40324 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.

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

Other Providers at the Same Location NPPES 14

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

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
106 MARKET PLACE CIR
GEORGETOWN, KY 40324
Nurse Practitioner (Family)
106 MARKET PLACE CIR
GEORGETOWN, KY 40324
Nurse Practitioner (Family)
106 MARKET PLACE CIR
GEORGETOWN, KY 40324
Pharmacist
106 MARKET PLACE CIR
GEORGETOWN, KY 40324
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
106 MARKET PLACE CIR
GEORGETOWN, KY 40324
Nurse Practitioner (Family)
106 MARKET PLACE CIR
GEORGETOWN, KY 40324
Nurse Practitioner (Family)
106 MARKET PLACE CIR
GEORGETOWN, KY 40324
Nurse Practitioner (Family)
106 MARKET PLACE CIR
GEORGETOWN, KY 40324

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 Justin Newsome's NPI number?

The NPI number for Justin Newsome is 1518586478. It was assigned to this individual provider in the NPPES registry on April 10, 2020.

Where is Justin Newsome located?

Justin Newsome practices at 106 Market Place Cir, Georgetown, KY 40324. The listed phone number is (859) 317-6075.

What is Justin Newsome's specialty?

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

Is Justin Newsome enrolled in Medicare?

Yes. Justin 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 Justin Newsome accept?

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

According to CMS data, Justin Newsome is affiliated with Baptist Health Lexington.

When was this NPI record last updated?

The NPPES record for Justin Newsome was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.