Bluegrass Urgent Care LLC
NPI 1104106954 · Urgent Care Clinic/Center · Walton, KY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bluegrass Urgent Care LLC is a Urgent Care Clinic/Center organization in Walton, KY (NPI 1104106954).
Provider details
- NPI number
- 1104106954
- Entity type
- Organization
- Primary specialty
- Urgent Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Robert So, Medical Director(859) 485-7900
Specialties & taxonomies
Ambulatory Health Care Facilities
- Obstetrics & Gynecology Physician207V00000X
Allopathic & Osteopathic Physicians
- General Practice Physician208D00000X
Allopathic & Osteopathic Physicians
- Clinical Medical Laboratory291U00000X
Laboratories
Suppliers
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-08-25
- Last updated
- 2024-10-04
- Certified
- 2024-10-04
Frequently asked questions
- What is Bluegrass Urgent Care LLC's NPI number?
- Bluegrass Urgent Care LLC's National Provider Identifier (NPI) is 1104106954, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bluegrass Urgent Care LLC?
- Bluegrass Urgent Care LLC is classified in the NPPES registry as Urgent Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Bluegrass Urgent Care LLC located?
- Bluegrass Urgent Care LLC's practice location on file with NPPES is 625 Chestnut Dr, Walton, KY 41094-7845.
- What is Bluegrass Urgent Care LLC's phone number?
- The practice phone number listed in the NPPES registry for Bluegrass Urgent Care LLC is (859) 485-7900.
- Does Bluegrass Urgent Care LLC accept Medicare?
- Bluegrass Urgent Care LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Bluegrass Urgent Care LLC?
- The authorized official listed on Bluegrass Urgent Care LLC's NPPES record is Robert So, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bluegrass Urgent Care LLC's NPI active?
- Yes — Bluegrass Urgent Care LLC's NPI (1104106954) is active in the NPPES registry as of the last update on 2024-10-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.