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PAMELA MACEDONIA APRN PMHNP
NPI 1386417939
Nurse Practitioner - Psychiatric/Mental Health in Corbin, KY

Active since November 06, 2023PECOS EnrolledAccepts Medicare Assignment
1013 MASTER ST, CORBIN, KY 40701(606) 280-4000(833) 222-3797 Get Directions Write a Review

NPPES record last updated: September 27, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 27, 2024, Nov 6, 2023 (2 updates tracked since 2023).

About Pamela Macedonia Aprn Pmhnp NPPES

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

PAMELA MACEDONIA APRN PMHNP (NPI 1386417939) is an individual psychiatric/mental health provider in Corbin, Kentucky, licensed in Kentucky (4010515) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1386417939
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NamePAMELA MACEDONIACredential: APRN PMHNP
Location Address1013 MASTER STCorbin, KY 40701-1065
Mailing Address1013 Master StCorbin, KY 40701-1065 · (606) 280-4000 · Fax (833) 222-3797
Phone(606) 280-4000
Fax(833) 222-3797
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 6, 2023
Last NPPES UpdateSeptember 27, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2024
✔ NPI 1386417939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in KY · 4010515
1013 MASTER ST, Corbin, KY 40701
Open in Google Maps ↗

Other Names 1

Former Name (1)Pamela Gray

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.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

Pamela Macedonia Aprn Pmhnp 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.

PECOS PAC ID5597106815
PECOS Enrollment IDI20240516003087
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Pamela Macedonia reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jaynes Family Practice
0.4 mi
Rural Health
1013 MASTER ST
Corbin, KY 40701
  • Reassigned Medicare billing, Kentucky enrollment
  • 11 clinicians in this Medicare group
NPI 1184228553 (606) 304-3794

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 40701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CORBIN RURAL HEALTH CENTER PLLC
Clinic/Center (Rural Health)
1013 MASTER ST
CORBIN, KY 40701
Whitley County (606) 280-7772
JAYNES FAMILY PRACTICE
Clinic/Center (Rural Health)
1013 MASTER ST
CORBIN, KY 40701
Whitley County (606) 304-3794
JACKSON BEHAVIORAL HEALTH PROFESSIONALS, PLLC
Counselor (Addiction (Substance Use Disorder))
1013 MASTER ST
CORBIN, KY 40701
Whitley County (606) 526-9500
LESLIE GAYLE PHELPS ANCC
Nurse Practitioner
1013 MASTER ST
CORBIN, KY 40701
Whitley County (606) 280-4000
MRS. KATHY CAMPBELL ARNP
Nurse Practitioner (Family)
1013 MASTER ST
CORBIN, KY 40701
Whitley County (606) 280-7772
AANAND HEALTHCARE PLLC
Clinic/Center (Rural Health)
1013 MASTER ST
CORBIN, KY 40701
Whitley County (606) 280-7772

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 Pamela Macedonia's NPI number?

The NPI number for Pamela Macedonia is 1386417939. It was assigned to this individual provider in the NPPES registry on November 6, 2023. The provider is also known as Pamela Gray.

Where is Pamela Macedonia located?

Pamela Macedonia practices at 1013 Master St, Corbin, KY 40701. The listed phone number is (606) 280-4000.

What is Pamela Macedonia's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Pamela Macedonia enrolled in Medicare?

Yes. Pamela Macedonia 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 organization bills Medicare for Pamela Macedonia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pamela Macedonia reassigns Medicare benefits to Jaynes Family Practice (Corbin, KY). The 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 Pamela Macedonia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pamela Macedonia accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Pamela Macedonia 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 Pamela Macedonia was last updated on September 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.