KENTUCKY MEDICAL CARE
NPI 1134060080
Nurse Practitioner in Beaver Dam, KY
About Kentucky Medical Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENTUCKY MEDICAL CARE (NPI 1134060080) is a healthcare organization registered as a nurse practitioner in Beaver Dam, Kentucky and active in the NPI registry since April 2026. The organization lists Edwin Thomas Hancock, Nurse Practitioner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kentucky Medical Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Kentucky Medical Care, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Kentucky Medical Care's NPI number?
The NPI number for Kentucky Medical Care is 1134060080. It was assigned to this organization in the NPPES registry on April 3, 2026.
Where is Kentucky Medical Care located?
Kentucky Medical Care is located at 1297 Thompson Dr, Beaver Dam, KY 42320. The listed phone number is (270) 291-5165.
What is Kentucky Medical Care's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Kentucky Medical Care enrolled in Medicare?
Yes. Kentucky Medical Care is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kentucky Medical Care?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Kentucky Medical Care. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Kentucky Medical Care was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.
# Kentucky Medical Care · NPI 1134060080
Nurse Practitioner organization in Beaver Dam, Kentucky. Organization record, active in the CMS NPPES registry since April 3, 2026.
## Identity
- **NPI:** 1134060080 (Entity type: Organization)
- **Enumerated:** April 3, 2026
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **Organization subpart:** No
- **Authorized official:** Edwin Hancock, NURSE PRACTITIONER
## Practice location
- **Address:** 1297 THOMPSON DR, Beaver Dam, KY 42320-9177
- **Phone:** (270) 291-5165
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 26, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1134060080) · Data from the CMS NPPES public registry.