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Susan Laryssa Epperson , PA-C

Physician Assistant • Fort Knox, KY

Active NPI 1629050513 Individual Practitioner Female Practitioner
Practice location in NPPES

289 Ireland Ave, Meddac Bldg 851 Rm N1a-53
Fort Knox, KY 401215111

Call 5026240250 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

289 Ireland Ave
Meddac Bldg 851 Rm N1a-53

Fort Knox, KY 401215111

Telephone 5026240250
Fax 5026240443
Organization at the Same NPPES Address or Phone
Ahc Ireland-Knox Facility NPI 1891899274

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2005

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Fort Knox and Kentucky

13 active clinicians are listed under Physician Assistant with a practice address in Fort Knox, KY (1,958 in Kentucky).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Fort Knox

0% of these 13 clinicians have the CMS telehealth indicator.

0% of these 13 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES KY PA175

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Kentucky Board of Medical Licensure.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Kentucky Certification
PA175 (KY)
Other Identifier Nccpa Certificate Number
1024552

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

10 listed
Annette Baker , PA-C

Physician Assistant

NPI 1144370875

Physician Assistant (Certified)

Dr. Bankole Botu , MD

Internal Medicine

NPI 1548210834

Doctor of Medicine (M.D.)

Dr. Jill Byers , MD

Internal Medicine

NPI 1235117185

Doctor of Medicine (M.D.)

Dr. Edwin Chelli , MD

Family Medicine - Adult Medicine

NPI 1508988353

Doctor of Medicine (M.D.)

Dr. Travis Dugan , DO

Internal Medicine

NPI 1346376175

Doctor of Osteopathic Medicine (D.O.)

Dr. Pragna Jadav , MD

Internal Medicine

NPI 1487634176

Doctor of Medicine (M.D.)

Career & Practice History

NPI enumerated November 16, 2005.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1629050513
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 16, 2005
Last Update: September 23, 2008
Sole Proprietor: No

Mailing Address

289 Ireland Ave, Meddac Bldg 851 Rm N1a-53

Fort Knox, KY 401215111

Phone: 5026240250

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.