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NICOLE CLEVINGER APRN
NPI 1609270388
Nurse Practitioner - Acute Care in Lexington, KY

Active since October 09, 2014PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
1720 NICHOLASVILLE RD, SUITE 601, LEXINGTON, KY 40503(859) 277-5887(859) 276-7659 Get Directions Write a Review

NPPES record last updated: December 2, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicole Clevinger Aprn NPPES

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

NICOLE CLEVINGER APRN (NPI 1609270388) is an individual acute care provider in Lexington, Kentucky, licensed in Kentucky (3009012) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Lexington, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1609270388
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameNICOLE CLEVINGERCredential: APRN
Location Address1720 NICHOLASVILLE RD, SUITE 601Lexington, KY 40503-1404
Mailing Address1720 Nicholasville Rd, Suite 601Lexington, KY 40503-1404 · (859) 277-5887 · Fax (859) 276-7659
Phone(859) 277-5887
Fax(859) 276-7659
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateOctober 9, 2014
Last NPPES UpdateDecember 2, 2020
NPPES CertifiedDecember 2, 2020
✔ NPI 1609270388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in KY · 3009012
1720 NICHOLASVILLE RD, Lexington, KY 40503
Open in Google Maps ↗

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

Nicole Clevinger 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 ID4587886924
PECOS Enrollment IDI20141119001323
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 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.
282 services262 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
179 services85 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
74 services72 patients
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.
40 services39 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
33 services33 patients
Programming of dual lead pacemaker system 93280
Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.
13 services13 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 20

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

EMILY MEGAN CARTER PA-C
Physician Assistant
1720 NICHOLASVILLE RD, STE 601
LEXINGTON, KY 40503
Fayette County (859) 277-5887
MRS. JENNIFER A FUSON MD
Obstetrics & Gynecology
1720 NICHOLASVILLE RD, STE 702
LEXINGTON, KY 40503
Fayette County (859) 264-8811
MS. ELAINE P SCHERMER ARNP
Nurse Practitioner (Acute Care)
1720 NICHOLASVILLE RD, SUITE 506
LEXINGTON, KY 40503
Fayette County (859) 260-6326
CHARLES A KENNEDY MD
Internal Medicine (Infectious Disease)
1720 NICHOLASVILLE RD, SUITE 602
LEXINGTON, KY 40503
Fayette County (859) 277-4005
BAPTIST PHYSICIANS LEXINGTON, INC
Internal Medicine (Hospice and Palliative Medicine)
1720 NICHOLASVILLE RD, SUITE 703
LEXINGTON, KY 40503
Fayette County (859) 260-6348
TONYA BREEDING PA-C
Physician Assistant
1720 NICHOLASVILLE RD, SUTIE 601
LEXINGTON, KY 40503
Fayette County (859) 277-5887
MICHAEL T REYMANN MD
Internal Medicine (Infectious Disease)
1720 NICHOLASVILLE RD, STE 602
LEXINGTON, KY 40503
Fayette County (859) 277-4005
SHANTEL J. DEVER AU.D.
Audiologist
1720 NICHOLASVILLE RD, SUITE 500
LEXINGTON, KY 40503
Fayette County (859) 278-1114

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 Nicole Clevinger's NPI number?

The NPI number for Nicole Clevinger is 1609270388. It was assigned to this individual provider in the NPPES registry on October 9, 2014.

Where is Nicole Clevinger located?

Nicole Clevinger practices at 1720 Nicholasville Rd Suite 601, Lexington, KY 40503. The listed phone number is (859) 277-5887.

What is Nicole Clevinger's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Nicole Clevinger enrolled in Medicare?

Yes. Nicole Clevinger 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 Nicole Clevinger accept?

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

According to CMS data, Nicole Clevinger is affiliated with Baptist Health Lexington.

When was this NPI record last updated?

The NPPES record for Nicole Clevinger was last updated on December 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.