Pinelake Physician Practice, Llc

NPI: 1861563439

Pinelake Physician Practice, Llc

Q: What is Pinelake Physician Practice, Llc's NPI number?

Pinelake Physician Practice, Llc's NPI number is 1861563439, a unique 10-digit identifier issued by CMS.

Q: What does Pinelake Physician Practice, Llc specialize in?

Pinelake Physician Practice, Llc specializes in Nurse Practitioner, taxonomy code 363L00000X.

Q: Where does Pinelake Physician Practice, Llc practice?

Pinelake Physician Practice, Llc practices in Mayfield, KY 42066-1189.

Q: When was Pinelake Physician Practice, Llc's NPI issued?

Pinelake Physician Practice, Llc's NPI was issued on November 13, 2006.

Q: What is Pinelake Physician Practice, Llc's provider type?

Pinelake Physician Practice, Llc is an Organization under CMS NPI Type 2.

ActiveOrganizationNurse Practitioner

NPI issued: November 13, 2006

Quick Facts

NPI Number

1861563439

TypeOrganization

StatusActive

SpecialtyNurse Practitioner

Taxonomy363L00000X — Nurse Practitioner

Phone

(270) 251-4590

StateKY

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1861563439)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (November 13, 2006)

Data source: CMS NPPES

Provider Overview

PINELAKE PHYSICIAN PRACTICE, LLC is a Nurse Practitioner provider based in Mayfield, KY who has been registered with CMS since 2006. They are affiliated with Jackson Purchase Podiatry. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1861563439

Provider TypeOrganization

StatusActive

Enumeration DateNovember 13, 2006

Practice Location

CityMayfield

StateKY

ZIP Code42066-1189

Phone(270) 251-4590

Specialties & Licenses

★ Primary

SpecialtyNurse Practitioner

Taxonomy Code363L00000X

License StateKY

Mailing Address

CityMayfield

StateKY

ZIP Code42066-1189

Phone(270) 251-4590

Same as practice location

Hospital & Organization Affiliations

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Jackson Purchase Podiatry

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How to Use This NPI

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For Insurance Billing

Use NPI 1861563439 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1861563439for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1861563439 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Nurse Practitioner

Family Nurse Practitioners (FNPs) provide comprehensive primary healthcare services across the lifespan, including diagnostic assessments, prescribing medications, and disease prevention education.

Browse all Nurse Practitionerproviders →

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Nurse Practitioner Providers in the US