ANDREA SEMONES APRN
NPI 1932539053
Nurse Practitioner - Psychiatric/Mental Health in Frankfort, KY

Q: What is Andrea Semones's NPI number?

The NPI number for Andrea Semones is 1932539053. It was assigned to this individual provider in the NPPES registry on November 27, 2013.

Q: What is Andrea Semones's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Andrea Semones was last updated on May 31, 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.

Active since November 27, 2013PECOS EnrolledAccepts Medicare Assignment

95.5/100

CMS Quality Rating

627 COMANCHE TRL, FRANKFORT, KY 40601(502) 352-6000(502) 699-2499 Get Directions Write a Review

NPPES record last updated: May 31, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

On this page

About Andrea Semones Aprn NPPES

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

ANDREA SEMONES APRN (NPI 1932539053) is an individual psychiatric/mental health provider in Frankfort, Kentucky, licensed in Kentucky (3012090) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Frankfort, and is a graduate of University Of Alabama School Of Medicine (2017).

NPPES Registry Identity

NPI1932539053

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameANDREA SEMONESCredential: APRN

Location Address627 COMANCHE TRLFrankfort, KY 40601-1753

Mailing Address741 Stoneleigh DrFrankfort, KY 40601-8626

Phone(502) 352-6000

Fax(502) 699-2499

Sole ProprietorYes

Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2017

Enumeration DateNovember 27, 2013

Last NPPES UpdateMay 31, 2022

NPPES CertifiedMay 31, 2022

✔ NPI 1932539053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in KY · 3012090

Also ListedRegistered NurseTaxonomy 163W00000X · License 1114216 (KY)

627 COMANCHE TRL, Frankfort, KY 40601

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Secondary Practice Location 1

Location 1741 Stoneleigh DrFrankfort, KY 40601-8626 · Phone (502) 229-6213

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 and accepts Medicare assignment

Andrea Semones Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406285451

PECOS Enrollment IDI20200326002773

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

40 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40601 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.5/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

89.59

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 3

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

CHRISTOPHER MEADE LCSW

Social Worker (Clinical)

627 COMANCHE TRL
FRANKFORT, KY 40601

Franklin County (502) 352-6000

KALI BETH BAUCOM LCSW

Social Worker (Clinical)

627 COMANCHE TRL
FRANKFORT, KY 40601

Franklin County (502) 352-6000

ELYSE TIMMONS APRN, PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)

627 COMANCHE TRL
FRANKFORT, KY 40601

Franklin County (502) 352-6000

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 Andrea Semones's NPI number?

The NPI number for Andrea Semones is 1932539053. It was assigned to this individual provider in the NPPES registry on November 27, 2013.

Where is Andrea Semones located?

Andrea Semones practices at 627 Comanche Trl, Frankfort, KY 40601. The listed phone number is (502) 352-6000.

What is Andrea Semones's specialty?

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

Is Andrea Semones enrolled in Medicare?

Yes. Andrea Semones is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Andrea Semones accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Andrea Semones 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 Andrea Semones was last updated on May 31, 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.