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SERGE NDETA APRN
NPI 1699472324
Nurse Practitioner - Psychiatric/Mental Health in Lexington, KY

Active since February 13, 2023PECOS Enrolled
1306 VERSAILLES RD STE 120, LEXINGTON, KY 40504(859) 259-2635(859) 254-7874 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 4, 2025, Feb 13, 2023 (2 updates tracked since 2023).

About Serge Ndeta Aprn NPPES

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

SERGE NDETA APRN (NPI 1699472324) is an individual psychiatric/mental health provider in Lexington, Kentucky, licensed in Kentucky (3017475) and active in the NPI registry since February 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Lexington.

NPPES Registry Identity

NPI1699472324
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameSERGE NDETACredential: APRN
Location Address1306 VERSAILLES RD STE 120Lexington, KY 40504-1795
Mailing Address1306 Versailles Rd Ste 120Lexington, KY 40504-1795 · (859) 259-2635 · Fax (859) 254-7874
Phone(859) 259-2635
Fax(859) 254-7874
Sole ProprietorNo
Enumeration DateFebruary 13, 2023
Last NPPES UpdateDecember 4, 20252 updates tracked since enumeration
NPPES CertifiedDecember 4, 2025
✔ NPI 1699472324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in KY · 3017475
1306 VERSAILLES RD STE 120, Lexington, KY 40504
Open in Google Maps ↗

Secondary Practice Location 1

Location 180 Codell Dr Ste 140Lexington, KY 40509-1177 · Phone (859) 788-7882

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)

Serge Ndeta Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Serge Ndeta reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bluegrass Primary Health Care Center, Inc.
Same address
Federally Qualified Health Center (FQHC)
1306 VERSAILLES RD STE 120
Lexington, KY 40504
  • Reassigned Medicare billing, Kentucky enrollment
  • 17 clinicians in this Medicare group
NPI 1215567474 (859) 259-2635
Madison Healthcare Services
24 mi
Primary Care
519 HAMPTON WAY STE 5
Richmond, KY 40475
  • Reassigned Medicare billing, Kentucky enrollment
  • 2 clinicians in this Medicare group
NPI 1083365670 (859) 825-6872

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 40504 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 20

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

ALLISON MAE HARPER PA-C
Physician Assistant
1306 VERSAILLES RD STE 120
LEXINGTON, KY 40504
Fayette County (859) 259-2635
SHEILA JOHNSON PA
Physician Assistant
1306 VERSAILLES RD STE 120
LEXINGTON, KY 40504
Fayette County (859) 259-2635
ZACHARY D RAWLINGS MSW, LCSW
Social Worker (Clinical)
1306 VERSAILLES RD STE 120
LEXINGTON, KY 40504
Fayette County (859) 259-2635
DORA SIMS APRN, FNP-BC
Nurse Practitioner (Family)
1306 VERSAILLES RD STE 120
LEXINGTON, KY 40504
Fayette County (859) 259-2635
AISHA JAMAL MD
Family Medicine
1306 VERSAILLES RD STE 120
LEXINGTON, KY 40504
Fayette County (859) 259-2635
HOPE ELIZABETH PRUITT LCSW
Social Worker (Clinical)
1306 VERSAILLES RD STE 120
LEXINGTON, KY 40504
Fayette County (859) 259-2635
KRISTEN J RIFE APRN
Nurse Practitioner (Family)
1306 VERSAILLES RD STE 120
LEXINGTON, KY 40504
Fayette County (859) 259-2635
MS. IRIS V GUTIERREZ LCSW
Social Worker (Clinical)
1306 VERSAILLES RD STE 120
LEXINGTON, KY 40504
Fayette County (859) 259-2635

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 Serge Ndeta's NPI number?

The NPI number for Serge Ndeta is 1699472324. It was assigned to this individual provider in the NPPES registry on February 13, 2023.

Where is Serge Ndeta located?

Serge Ndeta practices at 1306 Versailles Rd Ste 120, Lexington, KY 40504. The listed phone number is (859) 259-2635.

What is Serge Ndeta's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Serge Ndeta enrolled in Medicare?

Yes. Serge Ndeta is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Serge Ndeta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Serge Ndeta reassigns Medicare benefits to 2 organizations: Bluegrass Primary Health Care Center, Inc. (Lexington, KY) and Madison Healthcare Services (Richmond, 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 Serge Ndeta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Serge Ndeta accept?

Health plans from Anthem Blue Cross and Blue Shield list Serge Ndeta 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 Serge Ndeta was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.