STAMPING GROUND - GEORGETOWN FAMILY CLINIC
NPI 1417224585
Nurse Practitioner - Family in Stamping Ground, KY
About Stamping Ground - Georgetown Family Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STAMPING GROUND - GEORGETOWN FAMILY CLINIC (NPI 1417224585) is a healthcare organization registered as a family in Stamping Ground, Kentucky and active in the NPI registry since November 2011. The organization lists Jess N Judy, President, 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)
Stamping Ground - Georgetown Family Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
92Medicare enrollment records show 92 clinicians reassign Medicare billing to Stamping Ground - Georgetown Family Clinic, which bills Medicare for the services they deliver. Of these, 30 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 22
Nearest to this location (20)
See all 92Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Kentucky Mso LLC's NPI number?
The NPI number for Kentucky Mso LLC is 1417224585. It was assigned to this organization in the NPPES registry on November 17, 2011. The provider is doing business as Stamping Ground - Georgetown Family Clinic.
Where is Kentucky Mso LLC located?
Kentucky Mso LLC is located at 3501 Main St, Stamping Ground, KY 40379. The listed phone number is (502) 535-5686.
What is Kentucky Mso LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kentucky Mso LLC enrolled in Medicare?
Yes. Kentucky Mso LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kentucky Mso LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 92 clinicians in 22 Medicare specialties reassign their Medicare billing to Kentucky Mso LLC. 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 (38), Family Practice (8) and General Surgery (8). Of these, 30 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Kentucky Mso LLC accept?
Health plans from Anthem Blue Cross and Blue Shield list Kentucky Mso LLC 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 Kentucky Mso LLC was last updated on December 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Stamping Ground - Georgetown Family Clinic · NPI 1417224585
Family organization in Stamping Ground, Kentucky. Organization record, active in the CMS NPPES registry since November 17, 2011.
## Identity
- **NPI:** 1417224585 (Entity type: Organization)
- **Enumerated:** November 17, 2011
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Legal business name:** Kentucky Mso Llc
- **Organization subpart:** No
- **Authorized official:** Jess Judy, PRESIDENT
## Practice location
- **Address:** 3501 MAIN ST, Stamping Ground, KY 40379-9631
- **Phone:** (502) 535-5686 · **Fax:** (502) 535-5585
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 92 clinicians in 22 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (38), Family Practice (8), General Surgery (8); 30 practice within 10 miles; [full list](https://npiprofile.com/npi/1417224585/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 19, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1417224585) · Data from the CMS NPPES public registry.