SOUTHEAST FAMILY PRACTICE PSC
NPI 1033600416
Clinic/Center - Rural Health in Pineville, KY
About Southeast Family Practice Psc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHEAST FAMILY PRACTICE PSC (NPI 1033600416) is a healthcare organization registered as a rural health in Pineville, Kentucky and active in the NPI registry since May 2018. The organization holds a CLIA Waiver certificate valid through June 20, 2028 and lists Trampas S Nolan, Aprn / Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southeast Family Practice Psc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Southeast Family Practice Psc, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 18D2150286
Southeast Family Practice · Pineville, KYFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Southeast Family Practice Psc's NPI number?
The NPI number for Southeast Family Practice Psc is 1033600416. It was assigned to this organization in the NPPES registry on May 22, 2018.
Where is Southeast Family Practice Psc located?
Southeast Family Practice Psc is located at 222 W Tennessee Ave, Pineville, KY 40977. The listed phone number is (606) 499-5135.
What is Southeast Family Practice Psc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Southeast Family Practice Psc enrolled in Medicare?
Yes. Southeast Family Practice Psc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southeast Family Practice Psc?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Southeast Family Practice Psc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Southeast Family Practice Psc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 18D2150286) is associated with this NPI, valid through June 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Southeast Family Practice Psc accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Southeast Family Practice Psc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Southeast Family Practice Psc was last updated on December 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Southeast Family Practice Psc · NPI 1033600416
Rural Health organization in Pineville, Kentucky. Organization record, active in the CMS NPPES registry since May 22, 2018.
## Identity
- **NPI:** 1033600416 (Entity type: Organization)
- **Enumerated:** May 22, 2018
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Organization subpart:** No
- **Authorized official:** Trampas Nolan, APRN / OWNER
## Practice location
- **Address:** 222 W TENNESSEE AVE, Pineville, KY 40977-1737
- **Phone:** (606) 499-5135
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 8, 2023
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1033600416) · Data from the CMS NPPES public registry.