SUMMER MOUNTJOY BLAIR (APRN) – Family Nurse Practitioner, NPI 1245683697
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,343 NURSE PRACTITIONER in KY
Provider Addresses for SUMMER MOUNTJOY BLAIR (APRN)
200 Rice St
Wilmore, KY 403901359
Phone: (859) 858-9355
Fax: (859) 858-0416
Type: Location
105 Ponder Ct
Suite 104
Danville, KY 404229050
Phone: (859) 236-4216
Type: Location
1221 S BROADWAY
LEXINGTON, KY 405042701
Phone: (859) 258-4000
Fax: (859) 258-6203
Type: Location
105, Ponder Court, Danville, Boyle County, Kentucky, 40422, United States
SUITE 104
DANVILLE, KY 404229050
Phone: (859) 236-4216
Type: Mailing
PO BOX 936
LONDON, KY 407430936
Phone:
Fax: (606) 330-7825
Type: Mailing
200 RICE ST
WILMORE, KY 403901359
Phone: (859) 858-9355
Fax: (859) 858-0416
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 34 Open Payments records for all available years, with a total value of $626.
Total Amount is formed as General ($626) + Research ($0) + Ownership ($0) = $626.
Last reported payment date: 2024-06-12 • Largest payer in this snapshot: ABBVIE INC. ($230).
Total Amount
$626
General + Research + Ownership
Payments
34
Total payment records
General Amount
$626
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $230 |
| GlaxoSmithKline, LLC. | $55 |
| PFIZER INC. | $52 |
| IDORSIA PHARMACEUTICALS US INC | $51 |
| Novo Nordisk Inc | $44 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-09-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160901002377 | I | Nurse Practitioner | KY | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 99 | 58 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 36 | 30 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 18 | 16 | $0 |
| 81003 | Automated urinalysis test | 17 | 13 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 16 | 16 | $0 |
Insurance plans in this area (ZIP 40390)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | KY | 83036 | Hemoglobin A1C level | 13 | 13 |
Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | KY | |
| Physician Assistant | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | TN | |
| Physician Assistant | KY | |
| Physician Assistant | KY | |
| Nurse Practitioner | KY | |
| Physician Assistant | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY |
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