Emergency Medicine - APP Credentialing
Welcome to Lexington Clinic Emergency Medicine
We are excited to have you on board and become a part of our exceptional team!
1. Please download all of the PDF forms listed below by clicking on the form names.
1. Please download all of the PDF forms listed below by clicking on the form names.
2. Complete the forms and return them via email to lneac@lexclin.com or fax to our secure fax number at (859) 258-6122.
Thank you for your prompt attention to this important step.
If you have any questions, please contact Lora Neace at (859) 258-4508.
- Cover Letter, please read before beginning your forms.
- KAPER Form updated 9-16-2023
- Lexington Clinic Credentialing Forms
- Payer Applications
- Saint Joseph Emergency Medicine APRN Credentialing Forms (for Nurse Practitioners only)
- Saint Joseph Emergency Medicine PA-C Credentialing Forms (for Physician Assistants only)
Lexington Clinic is Central Kentucky’s largest and oldest medical group. With 350+ providers in more than 30 specialties, we have been taking care of 600,000+ visits annually in the Lexington community since 1920.