Pinelake Physician Practice, LLC
About this NPIWhat this record shows.
NPI 1295960532 is registered to Pinelake Physician Practice, LLC, a healthcare organisation classified as "Rural Health Clinic/Center" and located at 1111 Medical Center Cir in Mayfield, Kentucky. The organisation's authorised official is Monica Bowman. The organisation has been enumerated in the NPI registry since 2009.
Your brand here.
Secondary identifiers
Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.
Other
- 000000618910KY· Issued by ANTHEM
Medicaid
Source: NPPES public registry.
Medicare enrollment
This provider holds 2 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.
Part A Provider
- O20140205000338Rural Health ClinicKY
Part B Supplier
- O20040115001094Clinic/Group PracticeKY
Source: CMS PECOS public enrollment file.
Insurance & acceptsHow to confirm coverage.
The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Pinelake Physician Practice, LLC accepts. To confirm in-network status with your specific health plan, contact Pinelake Physician Practice, LLC directly at (270) 251-4543.
Frequently asked
Yes. NPI 1295960532 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.
Rural Health Clinic/Center is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.
The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (270) 251-4543.
An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Pinelake Physician Practice, LLC is a Type-2 organisational NPI.