Autumn Rose Ballard, PA-C
Physician Assistant, Medical in Frankfort, KY. Individual provider (NPI-1).
Details
- NPI
- 1811518541
- Entity type
- Individual (NPI-1)
- Name
- Autumn Rose Ballard
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 5, 2020
- Certification date
- Apr 21, 2026
- Last updated
- Apr 21, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | PA2724 | KY | Yes |
Other names
- Autumn Rose Keene (Former Name)
Practice location
101 Medical Heights Dr Ste AFrankfort, KY 40601-4137
Phone 502-223-5758 · Fax 502-223-0047
Mailing address
1221 S BroadwayLexington, KY 40504-2701
Phone 859-258-6200 · Fax 859-258-6203
Other practice locations
Georgetown, KY 40324-9330
Phone 859-258-6450 · Fax 859-258-6498
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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