PENNYROYAL HEALTHCARE SERVICES, INC.
NPI 1124319942
Clinic/Center - Federally Qualified Health Center (FQHC) in Hopkinsville, KY

Active since April 27, 2011
1102 S VIRGINIA ST, HOPKINSVILLE, KY 42240(270) 365-0227(270) 365-2559 Get Directions Write a Review

NPPES record last updated: March 16, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 16, 2018, Dec 12, 2017, Dec 8, 2017 (3 updates tracked since 2017).

About Pennyroyal Healthcare Services, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PENNYROYAL HEALTHCARE SERVICES, INC. (NPI 1124319942) is a healthcare organization registered as a federally qualified health center (fqhc) in Hopkinsville, Kentucky and active in the NPI registry since April 2011. The organization lists Kecia Fulcher, Ceo/director, as its authorized official.

NPPES Registry Identity

NPI1124319942
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NamePENNYROYAL HEALTHCARE SERVICES, INC.
Location Address1102 S VIRGINIA STHopkinsville, KY 42240-3579
Mailing Address310 Hawthorne StPrinceton, KY 42445-1622 · (270) 365-0227 · Fax (270) 365-2559
Fax(270) 365-2559
Organization SubpartNo
Authorized OfficialKecia FulcherCeo/director · (270) 886-2205
Enumeration DateApril 27, 2011
Last NPPES UpdateMarch 16, 20183 updates tracked since enumeration
✔ NPI 1124319942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
1102 S VIRGINIA ST, Hopkinsville, KY 42240

Other Identifiers 1

Medicaid7100200060KY

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pennyroyal Healthcare Services, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateKentuckyEnrollment IDO20150505000156Part A · Federally Qualified Health Center (FQHC)Due dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

30

Medicare enrollment records show 30 clinicians reassign Medicare billing to Pennyroyal Healthcare Services, Inc., which bills Medicare for the services they deliver. Of these, 5 practice at this address and 10 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 7

Nurse Practitioner18
Dentist4
Family Practice4
Certified Clinical Nurse Specialist (CNS)1
Clinical Social Worker1
General Practice1
Internal Medicine1

Nearest to this location (20)

See all 30
Dentist
NPI 1598403164
1102 S VIRGINIA ST STE B
Hopkinsville, KY 42240
(702) 632-6741
✔ PECOSSame address
Certified Clinical Nurse Specialist (CNS)
NPI 1306880034
1102 S VIRGINIA ST
Hopkinsville, KY 42240
(270) 632-6741
✔ PECOS✔ Accepts MedicareSame address
Dentist
NPI 1952414963
1102 S VIRGINIA ST
Hopkinsville, KY 42240
(270) 632-3088
✔ PECOSSame address
Nurse Practitioner
NPI 1194530238
1102 S VIRGINIA ST
Hopkinsville, KY 42240
(270) 886-5186
✔ PECOS✔ Accepts MedicareSame address
Dentist
NPI 1821747775
1102 S VIRGINIA ST STE B
Hopkinsville, KY 42240
(270) 632-3088
✔ PECOSSame address
Nurse Practitioner
NPI 1194125245
1717 HIGH ST STE 2B
Hopkinsville, KY 42240
(270) 887-0270
✔ PECOS0.4 mi
Internal Medicine
NPI 1043412356
320 W 18TH ST
Hopkinsville, KY 42240
(270) 887-0100
✔ PECOS✔ Accepts Medicare0.4 mi
Family Practice
NPI 1801068861
223 BURLEY AVE
Hopkinsville, KY 42240
(270) 887-6565
✔ PECOS✔ Accepts Medicare1.3 mi
Nurse Practitioner
NPI 1427399617
801 COUNTRY CLUB LN
Hopkinsville, KY 42240
(270) 484-0872
✔ PECOS1.7 mi
Clinical Social Worker
NPI 1609398452
2010 CADIZ RD
Hopkinsville, KY 42240
(270) 874-4016
✔ PECOS1.7 mi
Nurse Practitioner
NPI 1689494866
244 THOMPSONVILLE LN
Oak Grove, KY 42262
(270) 632-6743
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1598310419
2582 CERULEAN RD
Cadiz, KY 42211
(731) 394-1145
✔ PECOS17 mi
Family Practice
NPI 1578728002
1492 TINY TOWN RD SUITE A1&A2
Clarksville, TN 37042
(931) 502-2422
✔ PECOS✔ Accepts Medicare18 mi
Nurse Practitioner
NPI 1790289155
105 ELK FORK RD
Elkton, KY 42220
(270) 265-2574
✔ PECOS✔ Accepts Medicare19 mi
Nurse Practitioner
NPI 1922245141
2237 LOWES DR W STE A
Clarksville, TN 37040
(931) 272-2446
✔ PECOS22 mi
Family Practice
NPI 1023377942
490 DUNLOP LN
Clarksville, TN 37040
(931) 245-7000
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1912759861
1100 TED A CROZIER SR BLVD STE A
Clarksville, TN 37043
(931) 368-9736
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1750773586
310 HAWTHORNE ST
Princeton, KY 42445
(270) 365-0227
✔ PECOS27 mi
Family Practice
NPI 1548753023
2281 RIDGEWOOD DR
Madisonville, KY 42431
(860) 235-6512
✔ PECOS✔ Accepts Medicare34 mi
Dentist
NPI 1336336098
1109 STATE ST
Bowling Green, KY 42101
(270) 781-8039
✔ PECOS58 mi
See all 30 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently 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 Pennyroyal Healthcare Services, Inc.'s NPI number?

The NPI number for Pennyroyal Healthcare Services, Inc. is 1124319942. It was assigned to this organization in the NPPES registry on April 27, 2011.

Where is Pennyroyal Healthcare Services, Inc. located?

Pennyroyal Healthcare Services, Inc. is located at 1102 S Virginia St, Hopkinsville, KY 42240. The listed phone number is (270) 365-0227.

What is Pennyroyal Healthcare Services, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Pennyroyal Healthcare Services, Inc. enrolled in Medicare?

Yes. Pennyroyal Healthcare Services, Inc. is registered in the Medicare PECOS enrollment system.

When is Pennyroyal Healthcare Services, Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Kentucky, Federally Qualified Health Center (FQHC)) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Pennyroyal Healthcare Services, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 30 clinicians in 7 Medicare specialties reassign their Medicare billing to Pennyroyal Healthcare Services, Inc.. 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. The largest specialties are Nurse Practitioner (18), Dentist (4) and Family Practice (4). Of these, 5 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Pennyroyal Healthcare Services, Inc. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Pennyroyal Healthcare Services, Inc. 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 Pennyroyal Healthcare Services, Inc. was last updated on March 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.