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PATRIOT ONE PRIMARY CARE PSC
NPI 1699410548
Physician Assistant - Medical in Lexington, KY

Active since May 04, 2022
989 GOVERNORS LN STE 220, LEXINGTON, KY 40513(859) 447-8014(859) 447-8013 Get Directions Write a Review

NPPES record last updated: August 2, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 2, 2022, May 4, 2022 (2 updates tracked since 2022).

About Patriot One Primary Care Psc NPPES

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

PATRIOT ONE PRIMARY CARE PSC (NPI 1699410548) is a healthcare organization registered as a medical in Lexington, Kentucky and active in the NPI registry since May 2022. The organization lists Elizabeth Mentzer, Owner, as its authorized official.

NPPES Registry Identity

NPI1699410548
Entity TypeOrganization
Primary Taxonomy363AM0700X
Legal Business NamePATRIOT ONE PRIMARY CARE PSC
Location Address989 GOVERNORS LN STE 220Lexington, KY 40513-1175
Mailing Address989 Governors Ln Ste 220Lexington, KY 40513-1175 · (859) 447-8014
Phone(859) 447-8014
Fax(859) 447-8013
Organization SubpartNo
Authorized OfficialElizabeth MentzerOwner · (859) 447-8014
Enumeration DateMay 4, 2022
Last NPPES UpdateAugust 2, 20222 updates tracked since enumeration
NPPES CertifiedJune 20, 2022
✔ NPI 1699410548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X
989 GOVERNORS LN STE 220, Lexington, KY 40513
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Other Identifiers 1

Medicaid7100137000KY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 ›

Other Providers at the Same Location NPPES

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

REGIONAL DERMATOLOGY PLLC
Dermatology (MOHS-Micrographic Surgery)
989 GOVERNORS LN STE 220
LEXINGTON, KY 40513
Fayette County (859) 296-7546

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 Patriot One Primary Care Psc's NPI number?

The NPI number for Patriot One Primary Care Psc is 1699410548. It was assigned to this organization in the NPPES registry on May 4, 2022.

Where is Patriot One Primary Care Psc located?

Patriot One Primary Care Psc is located at 989 Governors Ln Ste 220, Lexington, KY 40513. The listed phone number is (859) 447-8014.

What is Patriot One Primary Care Psc's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

What insurance does Patriot One Primary Care Psc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Patriot One Primary Care Psc 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 Patriot One Primary Care Psc was last updated on August 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.