PAULINE RUTH SIDERS APRN
NPI 1578890968
Nurse Practitioner - Psychiatric/Mental Health in Lexington, KY

Active since November 06, 2009PECOS Enrolled
3150 CUSTER DR, SUITE 201, LEXINGTON, KY 40517(859) 229-0085(859) 273-6778 Get Directions Write a Review

NPPES record last updated: April 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pauline Ruth Siders Aprn NPPES

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

PAULINE RUTH SIDERS APRN (NPI 1578890968) is an individual psychiatric/mental health provider in Lexington, Kentucky, licensed in Kentucky (3002633) and active in the NPI registry since November 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578890968
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NamePAULINE RUTH SIDERSCredential: APRN
Location Address3150 CUSTER DR, SUITE 201Lexington, KY 40517-4010
Mailing Address3150 Custer Dr, Suite 201Lexington, KY 40517-4010 · (859) 327-1924 · Fax (859) 273-6778
Fax(859) 273-6778
Sole ProprietorNo
Enumeration DateNovember 6, 2009
Last NPPES UpdateApril 3, 2022
NPPES CertifiedApril 1, 2022
NPI 1578890968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in KY · 3002633
3150 CUSTER DR, Lexington, KY 40517

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Pauline Ruth Siders Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 13

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

Psychologist
3150 CUSTER DR, SUITE 201
LEXINGTON, KY 40517
Specialist
3150 CUSTER DR, SUITE 203
LEXINGTON, KY 40517
Social Worker (Clinical)
3150 CUSTER DR, SUITE 203
LEXINGTON, KY 40517
Day Training, Developmentally Disabled Services
3150 CUSTER DR, SUITE 201
LEXINGTON, KY 40517
Social Worker (Clinical)
3150 CUSTER DR
LEXINGTON, KY 40517
Social Worker (Clinical)
3150 CUSTER DR
LEXINGTON, KY 40517
Case Manager/Care Coordinator
3150 CUSTER DR
LEXINGTON, KY 40517
Psychologist (Addiction (Substance Use Disorder))
3150 CUSTER DR, STE 300 AND STE 302
LEXINGTON, KY 40517

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 Pauline Siders's NPI number?

The NPI number for Pauline Siders is 1578890968. It was assigned to this individual provider in the NPPES registry on November 6, 2009.

Where is Pauline Siders located?

Pauline Siders practices at 3150 Custer Dr Suite 201, Lexington, KY 40517. The listed phone number is (859) 229-0085.

What is Pauline Siders's specialty?

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

Is Pauline Siders enrolled in Medicare?

Yes. Pauline Siders is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Pauline Siders was last updated on April 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.