BLUEGRASS EXTENDED CARE SERVICES LLC
NPI 1912274044
Family Medicine in Lexington, KY

Active since November 17, 2011CLIA Certified · 2 labs
989 GOVERNORS LN STE 240, LEXINGTON, KY 40513(859) 338-3958(859) 368-8135 Get Directions Write a Review

NPPES record last updated: January 13, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 13, 2026, Jul 22, 2024 (2 updates tracked since 2024).

About Bluegrass Extended Care Services Llc NPPES

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

BLUEGRASS EXTENDED CARE SERVICES LLC (NPI 1912274044) is a healthcare organization registered as a family medicine in Lexington, Kentucky and active in the NPI registry since November 2011. The organization holds 2 active CLIA laboratory certificates and lists John W. Richard, Owner, as its authorized official.

NPPES Registry Identity

NPI1912274044
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBLUEGRASS EXTENDED CARE SERVICES LLC
Location Address989 GOVERNORS LN STE 240Lexington, KY 40513-1175
Mailing Address989 Governors Ln Ste 240Lexington, KY 40513-1175 · (859) 338-3958 · Fax (859) 368-8135
Fax(859) 368-8135
Organization SubpartNo
Authorized OfficialJohn W. RichardOwner · (859) 338-3958
Enumeration DateNovember 17, 2011
Last NPPES UpdateJanuary 13, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2026
✔ NPI 1912274044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
989 GOVERNORS LN STE 240, Lexington, KY 40513

Other Identifiers 3

Medicaid7100206250KY
Medicaid7100185160KY
Medicaid7100192070KY

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bluegrass Extended Care Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Bluegrass Extended Care Services LLC, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 9 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Nurse Practitioner
NPI 1154624492
989 GOVERNORS LN STE 240
Lexington, KY 40513
(859) 338-3958
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1073580171
989 GOVERNORS LN STE 240
Lexington, KY 40513
(859) 338-3958
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1477521326
989 GOVERNORS LN STE 240
Lexington, KY 40513
(859) 338-3958
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1124047717
989 GOVERNORS LN STE 240
Lexington, KY 40513
(859) 338-3958
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1174103618
989 GOVERNORS LN STE 140
Lexington, KY 40513
(859) 494-9984
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1902266729
989 GOVERNORS LN STE 240
Lexington, KY 40513
(859) 338-3958
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1417438391
989 GOVERNORS LN STE 140
Lexington, KY 40513
(859) 494-9984
✔ PECOSSame address
Mental Health Counselor
NPI 1376016279
989 GOVERNORS LN STE 240
Lexington, KY 40513
(859) 457-7505
✔ PECOSSame address
Nurse Practitioner
NPI 1083407449
1718 SHARKEY WAY STE 200
Lexington, KY 40511
(859) 490-9611
✔ PECOS3.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D2321397

Bluegrass Extended Care Services · Lexington, KY
Active · expires Apr 2, 2027
CLIA Number18D2321397
Laboratory TypePhysician Office
Certificate Effective DateApril 3, 2025
Certificate Expiration DateApril 2, 2027
Laboratory DirectorDr. John W. Richard
Laboratory Phone(859) 338-3958
Laboratory LocationBluegrass Extended Care Services989 Governors Lane Suite 240, Lexington, KY 40513
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 18D2089947

Bluegrass Extended Care · Lexington, KY
Active · expires Dec 10, 2026
CLIA Number18D2089947
Laboratory TypePhysician Office
Certificate Effective DateDecember 11, 2024
Certificate Expiration DateDecember 10, 2026
Laboratory DirectorDr. John Richard
Laboratory Phone(859) 338-3958
Laboratory LocationBluegrass Extended Care989 Governors Lane Suite 140, Lexington, KY 40513
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Bluegrass Extended Care Services LLC's NPI number?

The NPI number for Bluegrass Extended Care Services LLC is 1912274044. It was assigned to this organization in the NPPES registry on November 17, 2011.

Where is Bluegrass Extended Care Services LLC located?

Bluegrass Extended Care Services LLC is located at 989 Governors Ln Ste 240, Lexington, KY 40513. The listed phone number is (859) 338-3958.

What is Bluegrass Extended Care Services LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Bluegrass Extended Care Services LLC enrolled in Medicare?

Yes. Bluegrass Extended Care Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bluegrass Extended Care Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 4 Medicare specialties reassign their Medicare billing to Bluegrass Extended Care Services LLC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (6), Clinical Psychologist (1) and Family Practice (1). Of these, 8 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Bluegrass Extended Care Services LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Bluegrass Extended Care Services LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Bluegrass Extended Care Services LLC 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 Bluegrass Extended Care Services LLC was last updated on January 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.