DESHANA A. COLLETT (PA-C) – Physician Assistant, NPI 1336233998

DESHANA A. COLLETT (PA-C) is a healthcare provider. based in Lexington, Kentucky. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA845 (KY). The NPI Number for DESHANA A. COLLETT (PA-C) is 1336233998

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
DESHANA A. COLLETT (PA-C)
NPI
1336233998
Phone
(859) 338-3958
Address
989 GOVERNORS LN STE 240
Enumeration Date
3 October 2006
Last Update Date
13 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8593383958
Graduation Year
2003 (23 years ago)
PAC ID
3375522873
Group Practice PAC ID
4688832090
Professional Enrollment ID
I20040719000159
Address ID
KY405131175LE989XXLNXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Digital endpointsOther names

1,728 PHYSICIAN ASSISTANT in KY

Provider Addresses for DESHANA A. COLLETT (PA-C)

  • 989 GOVERNORS LN STE 240

    LEXINGTON, KY 405131175

    Phone: (859) 338-3958

    Fax: (859) 368-8135

    Type: Mailing

  • 110, Village Parkway, Nicholasville, Jessamine County, Kentucky, 40356, United States

    NICHOLASVILLE, KY 40356

    Phone: (859) 887-2484

    Fax: (859) 885-8448

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $929.

Total Amount is formed as General ($929) + Research ($0) + Ownership ($0) = $929.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: PFIZER INC. ($375).

Total Amount

$929

General + Research + Ownership

Payments

23

Total payment records

General Amount

$929

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2004-07-19

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040719000159IPhysician AssistantKYTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 40513)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4688832090View full group profile
NameSpecialtyState
Nurse PractitionerKY
-KY
Nurse PractitionerKY
Nurse PractitionerKY
Physician AssistantKY
Nurse PractitionerKY

Reviews

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Frequently asked questions

What number should I use to identify DESHANA A. COLLETT (PA-C) for billing?
Administrative and clinical systems typically use NPI 1336233998 for DESHANA A. COLLETT (PA-C).
Is DESHANA A. COLLETT (PA-C) currently accepting referrals based on NPI status?
Registry metadata lists DESHANA A. COLLETT (PA-C) as active.
What services align with DESHANA A. COLLETT (PA-C)'s listing?
DESHANA A. COLLETT (PA-C)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DESHANA A. COLLETT (PA-C)?
DESHANA A. COLLETT (PA-C) is associated with Lexington, Kentucky in the same public data insurers reference.
Who maintains DESHANA A. COLLETT (PA-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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