MRS. ANNETTE VAN DAM APRN NPI 1376914192

NPI Information

  • NPI: 1376914192
  • Provider Name: MRS. ANNETTE VAN DAM, APRN
  • Classification: Family Medicine - 207QA0505X
  • Specialization: Adult Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3151 BEAUMONT CENTRE CIRCLE
    SUITE 100
    LEXINGTON, KY
    ZIP 40513
  • Phone: (859) 410-6101

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NPI Details

MRS. Annette Van Dam, APRN is an adult medicine family medicine in Lexington, KY. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. MRS. Annette Van Dam, APRN NPI is 1376914192. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3151 BEAUMONT CENTRE CIRCLE
SUITE 100
LEXINGTON, KY
ZIP 40513-849
Phone: (859) 410-6101
Fax: (859) 410-6102

The NPI 1376914192 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Hospital discharge day management, more than 30 minutes (HCPCS:99239)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Emergency department visit for problem of high severity (HCPCS:99284)

The enumeration date for this NPI number is 10/20/2015 and was last updated on 2/26/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1202D00000XIntegrative Medicine3009783KENTUCKYNo
2208D00000XGeneral Practice3009783KENTUCKYNo
3363L00000XNurse Practitioner3009783KENTUCKYNo
4363LF0000XNurse PractitionerFamily3009783KENTUCKYNo
5207QA0505XFamily MedicineAdult Medicine3009783KENTUCKYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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