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: July 19, 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 Ft Thomas, 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
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

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

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 2024 & 2026 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 2

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

St Elizabeth Ft Thomas

Acute Care Hospitals · Fort Thomas, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180001
Location85 North Grand AvenueFort Thomas, KY 41075 · Campbell County
Emergency services

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.

Durable Medical Equipment & Medical Supplies
20 MEDICAL VILLAGE DR, SUITE 103
EDGEWOOD, KY 41017
Anesthesiology
20 MEDICAL VILLAGE DR, INDEPENDENT ANESTHESIOLOGISTS. PSC
EDGEWOOD, KY 41017
Nurse Anesthetist, Certified Registered
20 MEDICAL VILLAGE DR, SUITE 258
EDGEWOOD, KY 41017
Pediatrics
20 MEDICAL VILLAGE DR, STE 102
EDGEWOOD, KY 41017
Pediatrics
20 MEDICAL VILLAGE DR, STE 102
EDGEWOOD, KY 41017
Pediatrics
20 MEDICAL VILLAGE DR, STE 102
EDGEWOOD, KY 41017
Pediatrics
20 MEDICAL VILLAGE DR, SUITE 102
EDGEWOOD, KY 41017
Pediatrics
20 MEDICAL VILLAGE DR, SUITE 102
EDGEWOOD, KY 41017

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609657527, enumerated as an "individual" on October 06, 2023.

The provider is located at 20 MEDICAL VILLAGE DR EDGEWOOD, KY 41017 and the phone number is (859) 578-5880.

Nurse Practitioner with taxonomy code 363L00000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.

Payton York is affiliated with: ST ELIZABETH FT THOMAS and ST ELIZABETH EDGEWOOD.