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

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: October 18, 2026.

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

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, maintains 2 additional practice locations, 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
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12215 Portland AveLouisville, KY 40212-1033 · Phone (502) 774-8631
Location 27926 Preston Hwy Ste 106Louisville, KY 40219-3848 · Phone (502) 964-4357 · Fax (502) 366-5948

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 Health, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

5

Medicare enrollment records show Alexey Acosta Quintana reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Health Centers, Inc.
Same address
Federally Qualified Health Center (FQHC)
1000 NEIGHBORHOOD PL
Fairdale, KY 40118
  • Reassigned Medicare billing, Kentucky enrollment
  • 69 clinicians in this Medicare group
NPI 1871546119 (502) 361-2381
Community Medical Associates, Inc.
6.9 mi
Internal Medicine
3101 POPLAR LEVEL RD STE 101
Louisville, KY 40213
  • Reassigned Medicare billing, Kentucky and Indiana enrollments
  • Also billed through NPI 1386904647 (Indiana)
  • 1,896 clinicians in this Medicare group
NPI 1326776717 (502) 636-7444
Pinnacle Inpatient Medical Services, PLLC
24 mi
Family Medicine
3909 S WILSON RD
Radcliff, KY 40160
  • Reassigned Medicare billing, Kentucky enrollment
  • 24 clinicians in this Medicare group
NPI 1386148856 (270) 351-9444
American Current Care PA
718 mi
Urgent Care
5080 SPECTRUM DRIVE, SUITE 1200 WEST
Addison, TX 75001
  • Reassigned Medicare billing, Kentucky enrollment
  • 36 clinicians in this Medicare group
NPI 1720262645 (972) 720-7772
Signify Health, LLC
720 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Kentucky enrollment
  • 390 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007

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 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)
1000 NEIGHBORHOOD PL
FAIRDALE, KY 40118
Jefferson County (502) 361-2381
MANUEL L BROWN JR. M.D.
Family Medicine (Adult Medicine)
1000 NEIGHBORHOOD PL
FAIRDALE, KY 40118
Jefferson County (812) 218-8926
MS. SUSAN E HAGAN M.D.
Obstetrics & Gynecology
1000 NEIGHBORHOOD PL
FAIRDALE, KY 40118
Jefferson County (502) 361-2381
LOUISVILLE-JEFFERSON COUNTY METRO GOVERNMENT
Public Health or Welfare
1000 NEIGHBORHOOD PL
FAIRDALE, KY 40118
Jefferson County (502) 363-1428
TERRICA MICHELLE FLOWERS APRN
Nurse Practitioner (Family)
1000 NEIGHBORHOOD PL
FAIRDALE, KY 40118
Jefferson County (502) 361-2381
FAMILY HEALTH CENTERS, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
1000 NEIGHBORHOOD PL
FAIRDALE, KY 40118
Jefferson County (502) 361-2381
MRS. AMANDA CALLOWAY PHILLIPS NP
Nurse Practitioner (Women's Health)
1000 NEIGHBORHOOD PL
FAIRDALE, KY 40118
Jefferson County (502) 361-2381
DONA J MEERS C.N.P.
Nurse Practitioner (Family)
1000 NEIGHBORHOOD PL
FAIRDALE, KY 40118
Jefferson County (502) 361-2381

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 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.

Where is Alexey Acosta Quintana located?

Alexey Acosta Quintana practices at 1000 Neighborhood Pl, Fairdale, KY 40118. The listed phone number is (502) 774-8631.

What is Alexey Acosta Quintana's specialty?

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

Is Alexey Acosta Quintana enrolled in Medicare?

Yes. Alexey Acosta Quintana is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Alexey Acosta Quintana's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexey Acosta Quintana reassigns Medicare benefits to 5 organizations: Family Health Centers, Inc. (Fairdale, KY), Community Medical Associates, Inc. (Louisville, KY), Pinnacle Inpatient Medical Services, PLLC (Radcliff, KY), American Current Care PA (Addison, TX) and Signify Health, LLC (Dallas, TX). 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 Alexey Acosta Quintana's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alexey Acosta Quintana accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Alexey Acosta Quintana 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 Alexey Acosta Quintana was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.