OWENSBORO HEALTH WOUND CENTER-OHIO COUNTY
NPI 1154745412
Nurse Practitioner in Beaver Dam, KY
About Owensboro Health Wound Center-ohio County NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OWENSBORO HEALTH WOUND CENTER-OHIO COUNTY (NPI 1154745412) is a healthcare organization registered as a nurse practitioner in Beaver Dam, Kentucky and active in the NPI registry since February 2014. The organization holds a CLIA Waiver certificate valid through May 19, 2027 and lists Russell S Ranallo, Secretary, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
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)
Owensboro Health Wound Center-ohio County is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
641Medicare enrollment records show 641 clinicians reassign Medicare billing to Owensboro Health Wound Center-Ohio County, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 6 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 47
Nearest to this location (20)
See all 641Source: 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 18D2059164
Owensboro Health Wound Center Ohio County · Beaver Dam, 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 Owensboro Health Medical Group, Inc's NPI number?
The NPI number for Owensboro Health Medical Group, Inc is 1154745412. It was assigned to this organization in the NPPES registry on February 6, 2014. The provider is doing business as Owensboro Health Wound Center-Ohio County.
Where is Owensboro Health Medical Group, Inc located?
Owensboro Health Medical Group, Inc is located at 1307 N Main St, Beaver Dam, KY 42320. The listed phone number is (270) 274-5602.
What is Owensboro Health Medical Group, Inc's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Owensboro Health Medical Group, Inc enrolled in Medicare?
Yes. Owensboro Health Medical Group, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Owensboro Health Medical Group, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 641 clinicians in 47 Medicare specialties reassign their Medicare billing to Owensboro Health Medical Group, 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 (193), Emergency Medicine (55) and Family Practice (52). Of these, 1 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Owensboro Health Medical Group, Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 18D2059164) is associated with this NPI, valid through May 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Owensboro Health Medical Group, Inc accept?
Health plans from Anthem Blue Cross and Blue Shield list Owensboro Health Medical Group, 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 Owensboro Health Medical Group, Inc was last updated on December 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Owensboro Health Wound Center-Ohio County · NPI 1154745412
Nurse Practitioner organization in Beaver Dam, Kentucky. Organization record, active in the CMS NPPES registry since February 6, 2014.
## Identity
- **NPI:** 1154745412 (Entity type: Organization)
- **Enumerated:** February 6, 2014
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **Legal business name:** Owensboro Health Medical Group, Inc
- **Organization subpart:** Yes (part of Owensboro Health, Inc)
- **Authorized official:** Russell Ranallo, SECRETARY
## Practice location
- **Address:** 1307 N MAIN ST, Beaver Dam, KY 42320-8957
- **Phone:** (270) 274-5602 · **Fax:** (270) 274-5612
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 641 clinicians in 47 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (193), Emergency Medicine (55), Family Practice (52); 1 practice at this address and 6 within 10 miles; [full list](https://npiprofile.com/npi/1154745412/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 1, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1154745412) · Data from the CMS NPPES public registry.