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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

WEST MCCRACKEN HEALTHCARE PLLC
NPI 1225237423
Nurse Practitioner - Family in West Paducah, KY

Active since July 17, 2007CLIA 18D1070648 · Waiver
5325 METROPOLIS LAKE RD, WEST PADUCAH, KY 42086(270) 488-3141(877) 798-6776 Get Directions Write a Review

NPPES record last updated: September 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About West Mccracken Healthcare Pllc NPPES

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

WEST MCCRACKEN HEALTHCARE PLLC (NPI 1225237423) is a healthcare organization registered as a family in West Paducah, Kentucky and active in the NPI registry since July 2007. The organization holds a CLIA Waiver certificate valid through July 4, 2027 and lists Michael S Rust, Owner, as its authorized official.

NPPES Registry Identity

NPI1225237423
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameWEST MCCRACKEN HEALTHCARE PLLC
Location Address5325 METROPOLIS LAKE RDWest Paducah, KY 42086-9474
Mailing Address5325 Metropolis Lake RdWest Paducah, KY 42086-9474 · (270) 488-3141 · Fax (270) 488-2137
Phone(270) 488-3141
Fax(877) 798-6776
Organization SubpartNo
Authorized OfficialMichael S RustOwner · (270) 488-3141
Enumeration DateJuly 17, 2007
Last NPPES UpdateSeptember 9, 2026
NPPES CertifiedSeptember 9, 2026
✔ NPI 1225237423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 3156P
5325 METROPOLIS LAKE RD, West Paducah, KY 42086
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

West Mccracken Healthcare Pllc 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 West Mccracken Healthcare PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Michael Rust, ARNP
Nurse Practitioner
NPI 1679624217
5325 METROPOLIS LAKE RD
West Paducah, KY 42086
(270) 488-3141
✔ PECOS✔ Accepts MedicareSame address

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 18D1070648

West Mccracken Health Care · West Paducah, KY
Active · expires Jul 4, 2027
CLIA Number18D1070648
Laboratory TypePractitioner Other
Certificate Effective DateJuly 5, 2025
Certificate Expiration DateJuly 4, 2027
Laboratory DirectorMichael S. Rust
Laboratory Phone(270) 488-3141
Laboratory LocationWest Mccracken Health Care5325 Metropolis Lake Road, First Floor, West Paducah, KY 42086
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 West Mccracken Healthcare PLLC's NPI number?

The NPI number for West Mccracken Healthcare PLLC is 1225237423. It was assigned to this organization in the NPPES registry on July 17, 2007.

Where is West Mccracken Healthcare PLLC located?

West Mccracken Healthcare PLLC is located at 5325 Metropolis Lake Rd, West Paducah, KY 42086. The listed phone number is (270) 488-3141.

What is West Mccracken Healthcare PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is West Mccracken Healthcare PLLC enrolled in Medicare?

Yes. West Mccracken Healthcare PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through West Mccracken Healthcare PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to West Mccracken Healthcare PLLC. 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.

Does West Mccracken Healthcare PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D1070648) is associated with this NPI, valid through July 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for West Mccracken Healthcare PLLC was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 45 days 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.