1. Home
  2. Directory
  3. Kentucky
  4. Edgewood
  5. Nurse Practitioner
  6. NPI Profile

PAYTON YORK
NPI 1609657527
Nurse Practitioner in Edgewood, KY

Active since October 06, 2023PECOS EnrolledAccepts Medicare Assignment
20 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017(859) 578-5880 Get Directions Write a Review

NPPES record last updated: October 12, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 12, 2023, Oct 6, 2023 (2 updates tracked since 2023).

About Payton York NPPES

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

PAYTON YORK (NPI 1609657527) is an individual nurse practitioner in Edgewood, Kentucky, licensed in Kentucky (4007446) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS, is affiliated with St Elizabeth Edgewood, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1609657527
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NamePAYTON YORK
Location Address20 MEDICAL VILLAGE DREdgewood, KY 41017-5401
Mailing Address105 Hudson AveLakeside Park, KY 41017-2105
Phone(859) 578-5880
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 6, 2023
Last NPPES UpdateOctober 12, 20232 updates tracked since enumeration
NPPES CertifiedOctober 12, 2023
✔ NPI 1609657527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in KY · 4007446
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 4007446 (KY)
20 MEDICAL VILLAGE DR, Edgewood, KY 41017
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

Payton York 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 ID3678912573
PECOS Enrollment IDI20240411001828
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 2

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.
14 services13 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.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180035
Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41017 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 20

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

INFECTIOUS DISEASE CONSULTANTS INC
Internal Medicine (Infectious Disease)
20 MEDICAL VILLAGE DR, SUITE 355
EDGEWOOD, KY 41017
Kenton County (859) 344-1512
DAVID THOMAS TACKETT APRN
Nurse Practitioner
20 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 578-5880
DEBORAH JOY BARNETT PA-C
Physician Assistant
20 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 578-5880
VINCENT E ZIEGLER, PSC
Psychiatry & Neurology (Psychiatry)
20 MEDICAL VILLAGE DR, SUITE 301
EDGEWOOD, KY 41017
Kenton County (859) 341-5074
DR. MICHEAL LINK ROBINSON MD, DMD
Dentist (Oral and Maxillofacial Surgery)
20 MEDICAL VILLAGE DR, SUITE 196
EDGEWOOD, KY 41017
Kenton County (859) 331-2100
VIDYA RAJARAM DEVARAJAN M.D.
Internal Medicine (Infectious Disease)
20 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 344-1512
THE CRANLEY SURGICAL ASSOC,INC.
Surgery
20 MEDICAL VILLAGE DR, SUITE 394
EDGEWOOD, KY 41017
Kenton County (859) 578-0442
ANNA MORIAH GROTE CRNA
Nurse Anesthetist, Certified Registered
20 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 341-7246

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 Payton York's NPI number?

The NPI number for Payton York is 1609657527. It was assigned to this individual provider in the NPPES registry on October 6, 2023.

Where is Payton York located?

Payton York practices at 20 Medical Village Dr, Edgewood, KY 41017. The listed phone number is (859) 578-5880.

What is Payton York's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Payton York enrolled in Medicare?

Yes. Payton York 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 Payton York accept?

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

According to CMS data, Payton York is affiliated with St Elizabeth Edgewood.

When was this NPI record last updated?

The NPPES record for Payton York was last updated on October 12, 2023. 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.