JUSTIN MEREDITH – Psychiatric/Mental Health Nurse Practitioner, NPI 1033733605

JUSTIN MEREDITH is a healthcare provider. based in Cub run, Kentucky. specializing in NURSE PRACTITIONER. They hold a License No. 56994 (TN). The NPI Number for JUSTIN MEREDITH is 1033733605

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
JUSTIN MEREDITH
NPI
1033733605
Phone
(270) 784-0194
Address
424 GAP HILL RD
Enumeration Date
29 May 2020
Last Update Date
29 May 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4239752000
Graduation Year
2020 (6 years ago)
PAC ID
5991115487
Group Practice PAC ID
0840587572
Professional Enrollment ID
I20201112001744
Address ID
TN376014740JO505XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

7,343 NURSE PRACTITIONER in KY

Provider Addresses for JUSTIN MEREDITH

  • 424 GAP HILL RD

    CUB RUN, KY 427299338

    Phone: (270) 784-0194

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-09-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201112001744INurse PractitionerTNTBD
I20240910002995INurse PractitionerKYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes561151$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes305166$0
90792Psychiatric diagnostic evaluation with medical services110110$0
View full utilization report →

Insurance plans in this area (ZIP 42729)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0840587572View full group profile

Reviews

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Frequently asked questions

How do I look up JUSTIN MEREDITH by NPI?
Use NPI 1033733605 when you need to reference JUSTIN MEREDITH in forms, claims, or directories.
Is JUSTIN MEREDITH active in the national directory?
JUSTIN MEREDITH's public NPI profile is in an active state.
Can you summarize JUSTIN MEREDITH's specialty in plain language?
Clinically, the directory lists JUSTIN MEREDITH with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is JUSTIN MEREDITH's primary listing?
We display Cub Run, Kentucky because that is what the record indicates for JUSTIN MEREDITH.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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