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ELIZABETH SULLINS TOVAR PHD,FNP-C,PMHNP-BC
NPI 1568559268
Nurse Practitioner - Psychiatric/Mental Health in Lexington, KY

Active since October 06, 2006PECOS EnrolledAccepts Medicare Assignment
3150 CUSTER DR STE 101, LEXINGTON, KY 40517(859) 368-0434(859) 368-0437 Get Directions Write a Review

NPPES record last updated: February 29, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Elizabeth Sullins Tovar Phd,fnp-c,pmhnp-bc NPPES

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

ELIZABETH SULLINS TOVAR PHD,FNP-C,PMHNP-BC (NPI 1568559268) is an individual psychiatric/mental health provider in Lexington, Kentucky, licensed in Kentucky (5215P) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lexington, and is a graduate of University Of Texas Medical Branch At Galveston (2007).

NPPES Registry Identity

NPI1568559268
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameELIZABETH SULLINS TOVARCredential: PHD,FNP-C,PMHNP-BC
Location Address3150 CUSTER DR STE 101Lexington, KY 40517-4010
Mailing Address3150 Custer Dr Ste 101Lexington, KY 40517-4010 · (859) 368-0434 · Fax (859) 368-0437
Phone(859) 368-0434
Fax(859) 368-0437
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2007
Enumeration DateOctober 6, 2006
Last NPPES UpdateFebruary 29, 2024
NPPES CertifiedFebruary 29, 2024
✔ NPI 1568559268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in KY · 5215P
Also ListedNurse PractitionerTaxonomy 363L00000X · License 5215P (KY)
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 666168 (TX)
3150 CUSTER DR STE 101, Lexington, KY 40517
Open in Google Maps ↗

Secondary Practice Location 1

Location 1740 S Limestone StLexington, KY 40536-0001 · Phone (859) 323-6371 · Fax (859) 323-6661

Other Identifiers 2

Medicaid7100030120KY
Medicaid170018901TX

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elizabeth Sullins Tovar Phd,fnp-c,pmhnp-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 ID1850349713
PECOS Enrollment IDI20080110000080
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Elizabeth Tovar reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Kentucky
3.9 mi
General Acute Care Hospital
800 ROSE ST
Lexington, KY 40536
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,761 clinicians in this Medicare group
NPI 1518911338 (859) 323-5470
Hartoria Health Services LLC
4.7 mi
Addiction Medicine
1618 HARRODSBURG RD
Lexington, KY 40504
  • Reassigned Medicare billing, Kentucky enrollment
  • 10 clinicians in this Medicare group
NPI 1467918201 (859) 368-0434

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40517 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.

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.

CASEY SPEARS BARKER TCM
Case Manager/Care Coordinator
3150 CUSTER DR STE 101
LEXINGTON, KY 40517
Fayette County (859) 404-0598
TERRI RENEE NOE CADCA1
Counselor (Addiction (Substance Use Disorder))
3150 CUSTER DR STE 101
LEXINGTON, KY 40517
Fayette County (859) 368-0434
TONYA REY STEPHENS PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
3150 CUSTER DR STE 101
LEXINGTON, KY 40517
Fayette County (859) 710-1800
KENTUCKY HEALTH SERVICES, PLLC
Nurse Practitioner (Primary Care)
3150 CUSTER DR STE 101
LEXINGTON, KY 40517
Fayette County (502) 219-3488

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 Elizabeth Tovar's NPI number?

The NPI number for Elizabeth Tovar is 1568559268. It was assigned to this individual provider in the NPPES registry on October 6, 2006.

Where is Elizabeth Tovar located?

Elizabeth Tovar practices at 3150 Custer Dr Ste 101, Lexington, KY 40517. The listed phone number is (859) 368-0434.

What is Elizabeth Tovar's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Elizabeth Tovar enrolled in Medicare?

Yes. Elizabeth Tovar 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.

Which organizations bill Medicare for Elizabeth Tovar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Tovar reassigns Medicare benefits to 2 organizations: University Of Kentucky (Lexington, KY) and Hartoria Health Services LLC (Lexington, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elizabeth Tovar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elizabeth Tovar accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter of Tennessee list Elizabeth Tovar 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.

When was this NPI record last updated?

The NPPES record for Elizabeth Tovar was last updated on February 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.