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

KAREN HILT MSN
NPI 1629675327
Nurse Practitioner - Family in Lexington, KY

Active since October 06, 2020PECOS Enrolled
100/100
CMS Quality Rating
1000 S LIMESTONE, LEXINGTON, KY 40506(859) 257-1000 Get Directions Write a Review

NPPES record last updated: November 17, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 17, 2020, Oct 6, 2020 (2 updates tracked since 2020).

About Karen Hilt Msn NPPES

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

KAREN HILT MSN (NPI 1629675327) is an individual family provider in Lexington, Kentucky, licensed in Kentucky (3015219) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lexington, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1629675327
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKAREN HILTCredential: MSN
Location Address1000 S LIMESTONELexington, KY 40506-0007
Mailing Address2273 Spurr RdLexington, KY 40511-9124 · (937) 509-0012
Phone(859) 257-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 6, 2020
Last NPPES UpdateNovember 17, 20202 updates tracked since enumeration
NPPES CertifiedNovember 17, 2020
✔ NPI 1629675327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 3015219
Also ListedRegistered NurseTaxonomy 163W00000X · License 3015219 (KY)
1000 S LIMESTONE, Lexington, KY 40506
Open in Google Maps ↗

Secondary Practice Location 1

Location 1800 Rose StLexington, KY 40536-0293 · Phone (859) 257-1000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Karen Hilt Msn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5799196432
PECOS Enrollment IDI20201201001678
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

3

Medicare enrollment records show Karen Hilt reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Kentucky
0.1 mi
Family
UK COLLEGE OF DENTISTRY, 770 ROSE STREET, MN328
Lexington, KY 40536
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,761 clinicians in this Medicare group
NPI 1215449590 (859) 323-3368
Brightview, LLC
76 mi
Addiction Medicine
446 MORGAN ST
Cincinnati, OH 45206
  • Reassigned Medicare billing, Kentucky enrollment
  • 109 clinicians in this Medicare group
NPI 1659769446 (513) 834-7063
Caremed Health Solutions Of Kentucky, LLC
106 mi
Multi-Specialty
1820 OAKVIEW RD
Ashland, KY 41101
  • Reassigned Medicare billing, Kentucky enrollment
  • 75 clinicians in this Medicare group
NPI 1326789462 (845) 521-9991

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 40506 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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
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.

CARSON G SWARTZ DNP, APRN
Nurse Practitioner (Acute Care)
1000 S LIMESTONE
LEXINGTON, KY 40506
Fayette County (859) 323-5000
ALEXANDER WILSON MEADOR
Student in an Organized Health Care Education/Training Program
1000 S LIMESTONE
LEXINGTON, KY 40506
Fayette County (859) 257-1000
MRS. LAURA SMITH HUGHES APRN
Nurse Practitioner (Family)
1000 S LIMESTONE
LEXINGTON, KY 40506
Fayette County (859) 323-5901
MEGAN DANIELLE HENSLEY APRN
Nurse Practitioner (Family)
1000 S LIMESTONE
LEXINGTON, KY 40506
Fayette County (859) 323-5901
ASHLEY DANIELLE LUTZ
Student in an Organized Health Care Education/Training Program
1000 S LIMESTONE
LEXINGTON, KY 40506
Fayette County (859) 473-5522
ASHLEY GILLSTRAP APRN
Nurse Practitioner (Acute Care)
1000 S LIMESTONE
LEXINGTON, KY 40506
Fayette County (859) 323-9057
DR. MATTHEW BLACKBURN PHARMD, BCCCP, BCPS
Pharmacist
1000 S LIMESTONE
LEXINGTON, KY 40506
Fayette County (859) 323-2300
MADISON FISCHER
Student in an Organized Health Care Education/Training Program
1000 S LIMESTONE
LEXINGTON, KY 40506
Fayette County (859) 257-1000

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 Karen Hilt's NPI number?

The NPI number for Karen Hilt is 1629675327. It was assigned to this individual provider in the NPPES registry on October 6, 2020.

Where is Karen Hilt located?

Karen Hilt practices at 1000 S Limestone, Lexington, KY 40506. The listed phone number is (859) 257-1000.

What is Karen Hilt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Karen Hilt enrolled in Medicare?

Yes. Karen Hilt is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Karen Hilt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Hilt reassigns Medicare benefits to 3 organizations: University Of Kentucky (Lexington, KY), Brightview, LLC (Cincinnati, OH) and Caremed Health Solutions Of Kentucky, LLC (Ashland, 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 Karen Hilt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Hilt accept?

Health plans from Anthem Blue Cross and Blue Shield list Karen Hilt 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 Karen Hilt was last updated on November 17, 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.