Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mariya Nikolaevna Brock, APRN

Individual provider Acute Care Nurse Practitioner · NPI 1407675457

Mariya Nikolaevna Brock, APRN is a Nurse Practitioner in Lexington, Kentucky. Qualified in 2024, 2 years ago. Practices with Kentuckyone Health Medical Group Inc, a 252-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
2
Licensed in
KY
In the registry since
2024
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

800 Rose St
Lexington, KY 40536-7001
Phone: (859) 257-1000
Fax: (859) 218-7658
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 4027616 (KY)

Record details

NPI number1407675457
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorYes
NPI enumeratedOctober 7, 2024
Last updated in NPPESDecember 18, 2024
Certification dateDecember 18, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Kentuckyone Health Medical Group Inc — 252 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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