ALEXEY ACOSTA QUINTANA
NPI 1639818867
Nurse Practitioner - Family in Fairdale, KY

Q: What is Alexey Acosta Quintana's NPI number?

The NPI number for Alexey Acosta Quintana is 1639818867. It was assigned to this individual provider in the NPPES registry on June 4, 2022.

Q: What is Alexey Acosta Quintana's specialty?

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

Active since June 04, 2022PECOS Enrolled

1000 NEIGHBORHOOD PL, FAIRDALE, KY 40118(502) 774-8631 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 28, 2026, Dec 23, 2025, Aug 23, 2024 and 2 more (5 updates tracked since 2022).

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About Alexey Acosta Quintana NPPES

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

ALEXEY ACOSTA QUINTANA (NPI 1639818867) is an individual family provider in Fairdale, Kentucky, licensed in Kentucky (4014131) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1639818867

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameALEXEY ACOSTA QUINTANA

Location Address1000 NEIGHBORHOOD PLFairdale, KY 40118-9697

Mailing AddressPo Box 950244Louisville, KY 40295-0244 · (502) 774-8631 · Fax (502) 772-8546

Phone(502) 774-8631

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateJune 4, 2022

Last NPPES UpdateJanuary 28, 20265 updates tracked since enumeration

NPPES CertifiedJanuary 28, 2026

✔ NPI 1639818867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in KY · 4014131

1000 NEIGHBORHOOD PL, Fairdale, KY 40118

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Other Identifiers 3

Medicaid31-000052KY

Medicaid7100964500KY

Medicaid300093766IN

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 (PECOS)

Alexey Acosta Quintana is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618316001

PECOS Enrollment IDI20240418000698, I20240910004485

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40118 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 8

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

SHAMECKA SULLIVAN PMHNP

Nurse Practitioner (Psychiatric/Mental Health)