ABIGAIL HAGAN SOUTHALL (NURSE PRACTITIONER) – Family Nurse Practitioner, NPI 1861006066
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,347 NURSE PRACTITIONER in KY
Provider Addresses for ABIGAIL HAGAN SOUTHALL (NURSE PRACTITIONER)
312 W HIGH ST
LEBANON, KY 400331428
Phone: (270) 692-9559
Fax: (270) 692-9236
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)
CMS reports 147 Open Payments records for all available years, with a total value of $2,634.
Total Amount is formed as General ($2,634) + Research ($0) + Ownership ($0) = $2,634.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($198).
Total Amount
$2,634
General + Research + Ownership
Payments
147
Total payment records
General Amount
$2,634
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $198 |
| Axsome Therapeutics, Inc. | $193 |
| AstraZeneca Pharmaceuticals LP | $149 |
| Bayer Healthcare Pharmaceuticals Inc. | $134 |
| Amgen Inc. | $113 |
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: 2020-09-24
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 |
|---|---|---|---|---|
| I20200924003293 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 455 | 203 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 263 | 159 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 248 | 29 | $0 |
| 83036 | Hemoglobin a1c level | 177 | 138 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 79 | 66 | $0 |
Insurance plans in this area (ZIP 40033)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KY | |
| - | SC | |
| Internal Medicine | KY |
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