NATALIE M ANDERSON AGACNP-BC
NPI 1639746589
Nurse Practitioner - Acute Care in Lexington, KY

Active since June 09, 2021PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
1760 NICHOLASVILLE RD, LEXINGTON, KY 40503(859) 260-6100 Get Directions Write a Review

NPPES record last updated: June 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Natalie M Anderson Agacnp-bc NPPES

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

NATALIE M ANDERSON AGACNP-BC (NPI 1639746589) is an individual acute care provider in Lexington, Kentucky, licensed in Kentucky (3016214) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Harrison Memorial Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1639746589
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameNATALIE M ANDERSONCredential: AGACNP-BC
Location Address1760 NICHOLASVILLE RDLexington, KY 40503-1471
Mailing Address432 Agee StHarrodsburg, KY 40330-7506 · (502) 598-9862
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 9, 2021
NPPES CertifiedJune 9, 2021
NPI 1639746589 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 · 3016214
1760 NICHOLASVILLE RD, Lexington, KY 40503

Other Identifiers 1

Other3016214KY · Aprn License Number

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

Natalie M Anderson Agacnp-bc 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 ID3072916766
PECOS Enrollment IDI20210719001383
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 3

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.

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.
98 services69 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
61 services61 patients
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.
20 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Harrison Memorial Hospital

Acute Care Hospitals · Cynthiana, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180079
Location1210 Ky Hwy 36 ECynthiana, KY 41031 · Harrison County
Emergency services Birthing friendly

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.

Pediatrics (Neonatal-Perinatal Medicine)
1760 NICHOLASVILLE RD, SUITE 406
LEXINGTON, KY 40503
Anesthesiology (Pain Medicine)
1760 NICHOLASVILLE RD, STE 301
LEXINGTON, KY 40503
Neurological Surgery
1760 NICHOLASVILLE RD, SUITE 301
LEXINGTON, KY 40503
Radiology (Diagnostic Radiology)
1760 NICHOLASVILLE RD, SUITE 401
LEXINGTON, KY 40503
Orthopaedic Surgery
1760 NICHOLASVILLE RD, SUITE 604
LEXINGTON, KY 40503
Urology
1760 NICHOLASVILLE RD, SUITE 301
LEXINGTON, KY 40503
Physician Assistant (Medical)
1760 NICHOLASVILLE RD, STE 603
LEXINGTON, KY 40503
Surgery
1760 NICHOLASVILLE RD, SUITE 202
LEXINGTON, KY 40503

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 Natalie Anderson's NPI number?

The NPI number for Natalie Anderson is 1639746589. It was assigned to this individual provider in the NPPES registry on June 9, 2021.

Where is Natalie Anderson located?

Natalie Anderson practices at 1760 Nicholasville Rd, Lexington, KY 40503. The listed phone number is (859) 260-6100.

What is Natalie Anderson's specialty?

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

Is Natalie Anderson enrolled in Medicare?

Yes. Natalie Anderson 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 Natalie Anderson accept?

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

According to CMS data, Natalie Anderson is affiliated with Harrison Memorial Hospital and Baptist Health Lexington.

When was this NPI record last updated?

The NPPES record for Natalie Anderson was last updated on June 9, 2021. 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.