Unknown Individual – Family Nurse Practitioner, NPI 1811098106
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
333 BEACON HILL RD STE 201
MOREHEAD, KY 403516182
Phone: (606) 780-0444
Fax: (606) 784-2344
Type: Location
PO BOX 550
VANCEBURG, KY 411790550
Phone: (606) 796-3029
Fax: (606) 796-6221
Type: Mailing
Chatham Road, Crofton, Augusta, Richmond County, Georgia, 30907, United States
AUGUSTA, KY 410029224
Phone: (606) 756-2117
Fax: (606) 756-2135
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 20 Open Payments records for all available years, with a total value of $364.
Total Amount is formed as General ($364) + Research ($0) + Ownership ($0) = $364.
Last reported payment date: 2024-09-11 • Largest payer in this snapshot: ABBVIE INC. ($158).
Total Amount
$364
General + Research + Ownership
Payments
20
Total payment records
General Amount
$364
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $158 |
| PFIZER INC. | $49 |
| Lilly USA, LLC | $45 |
| Novo Nordisk Inc | $31 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | $18 |
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: 2009-12-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20091218000097 | I | Nurse Practitioner | KY | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 96127 | Assessment of emotional or behavioral problems | 25 | 22 | $0 |
| 81003 | Automated urinalysis test | 13 | 12 | $0 |
Insurance plans in this area (ZIP 40351)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | KY | |
| Family Practice | KY | |
| P S Y C H I A T R Y | KY | |
| Physician Assistant | OH | |
| Nurse Practitioner | KY | |
| - | KY | |
| - | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.