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

Staci Bhalodi, PA-C

Individual provider Medical Physician Assistant · NPI 1225391113

Staci Bhalodi, PA-C is a Physician Assistant in Versailles, Kentucky. Qualified in 2012, 14 years ago. Practices with Kentucky MSO LLC, a 54-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
14
Licensed in
KY
In the registry since
2012
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

360 Amsden Ave Ste 401
Versailles, KY 40383-1854
Phone: (859) 879-2384
Fax: (859) 879-2388
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2120 (KY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA2120 (KY)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA2120 (KY)

Record details

NPI number1225391113
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 17, 2012
Last updated in NPPESMay 13, 2025
Certification dateMay 13, 2025
Mailing address360 Amsden Ave Ste 401, Versailles, KY 40383-1854

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Kentucky Mso Llc — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Versailles