ESTILL MEDICAL CLINIC, PSC
NPI 1154500296
Family Medicine in Irvine, KY
About Estill Medical Clinic, Psc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ESTILL MEDICAL CLINIC, PSC (NPI 1154500296) is a healthcare organization registered as a family medicine in Irvine, Kentucky and active in the NPI registry since October 2007. The organization holds a CLIA Waiver certificate valid through August 8, 2028 and lists Donna R Isfort, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 5
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)
Estill Medical Clinic, Psc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Estill Medical Clinic, Psc, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
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 18D1029057
Estill Medical Clinic - Donna Isfort, Aprn · Irvine, 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 Estill Medical Clinic, Psc's NPI number?
The NPI number for Estill Medical Clinic, Psc is 1154500296. It was assigned to this organization in the NPPES registry on October 25, 2007.
Where is Estill Medical Clinic, Psc located?
Estill Medical Clinic, Psc is located at 275 Court St, Irvine, KY 40336. The listed phone number is (606) 723-2167.
What is Estill Medical Clinic, Psc's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Estill Medical Clinic, Psc enrolled in Medicare?
Yes. Estill Medical Clinic, Psc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Estill Medical Clinic, Psc?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Estill Medical Clinic, 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. The largest specialties are Nurse Practitioner (5) and Hospitalist (1). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Estill Medical Clinic, Psc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 18D1029057) is associated with this NPI, valid through August 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Estill Medical Clinic, Psc accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Estill Medical Clinic, 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 Estill Medical Clinic, Psc was last updated on November 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Estill Medical Clinic, Psc · NPI 1154500296
Family Medicine organization in Irvine, Kentucky. Organization record, active in the CMS NPPES registry since October 25, 2007.
## Identity
- **NPI:** 1154500296 (Entity type: Organization)
- **Enumerated:** October 25, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Donna Isfort, OWNER
## Practice location
- **Address:** 275 COURT ST, Irvine, KY 40336-1077
- **Phone:** (606) 723-2167 · **Fax:** (606) 723-2112
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Hospitalist (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 9, 2011
- **Other identifiers:** Medicare PIN 1118201 (KY); Medicare PIN 11182 (KY); Other 000000507512 (KY); and 2 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1154500296) · Data from the CMS NPPES public registry.