MR. PAUL MICHAEL BIRCHALL FNP-C
NPI 1215544978
Nurse Practitioner - Family in Erlanger, KY
About Mr. Paul Michael Birchall Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. PAUL MICHAEL BIRCHALL FNP-C (NPI 1215544978) is an individual family provider in Erlanger, Kentucky, licensed in Kentucky (3015212) and active in the NPI registry since September 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Paul Michael Birchall Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Paul Birchall reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Cincinnati, OH 45230
- Reassigned Medicare billing, Kentucky enrollment
- 59 clinicians in this Medicare group
Addison, TX 75001
- Reassigned Medicare billing, Kentucky enrollment
- 36 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 41018 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ERLANGER, KY 41018
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 Paul Birchall's NPI number?
The NPI number for Paul Birchall is 1215544978. It was assigned to this individual provider in the NPPES registry on September 28, 2020.
Where is Paul Birchall located?
Paul Birchall practices at 650 Sprucewood Ln, Erlanger, KY 41018. The listed phone number is (859) 282-6600.
What is Paul Birchall's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Paul Birchall enrolled in Medicare?
Yes. Paul Birchall is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Paul Birchall's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Paul Birchall reassigns Medicare benefits to 2 organizations: Cg Medical Associates Inc (Cincinnati, OH) and American Current Care PA (Addison, TX). Each 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 Paul Birchall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Paul Birchall accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource and Oscar Health Insurance list Paul Birchall 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 Paul Birchall was last updated on September 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Mr. Paul Michael Birchall, FNP-C · NPI 1215544978
Family physician in Erlanger, Kentucky. Individual provider, active in the CMS NPPES registry since September 28, 2020.
## Identity
- **NPI:** 1215544978 (Entity type: Individual)
- **Enumerated:** September 28, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 3015212 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 650 SPRUCEWOOD LN, Erlanger, KY 41018-1062
- **Phone:** (859) 282-6600
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Cg Medical Associates Inc (NPI 1982903951, Cincinnati, OH); American Current Care PA (NPI 1720262645, Addison, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** September 28, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1215544978) · Data from the CMS NPPES public registry.