MERCY MEDICAL CLINIC PLLC
NPI 1528557147
Family Medicine in Corbin, KY

Active since May 09, 2018CLIA 18D2149902 · Waiver
14659 US N HWY 25E, STE 16, CORBIN, KY 41701(606) 280-7070 Get Directions Write a Review

NPPES record last updated: May 9, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mercy Medical Clinic Pllc NPPES

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

MERCY MEDICAL CLINIC PLLC (NPI 1528557147) is a healthcare organization registered as a family medicine in Corbin, Kentucky and active in the NPI registry since May 2018. The organization holds a CLIA Waiver certificate valid through June 12, 2028 and lists Kathryn Baker, Owner, as its authorized official.

NPPES Registry Identity

NPI1528557147
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMERCY MEDICAL CLINIC PLLC
Location Address14659 US N HWY 25E, STE 16Corbin, KY 41701
Mailing Address14659 Us N Hwy 25e, Ste 16Corbin, KY 41701
Organization SubpartNo
Authorized OfficialKathryn BakerOwner · (606) 280-7070
Enumeration DateMay 9, 2018
✔ NPI 1528557147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
14659 US N HWY 25E, Corbin, KY 41701

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 MULTIPLE SINGLE SPECIALTY GROUP

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)

Mercy Medical Clinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Mercy Medical Clinic PLLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Mental Health Counselor
NPI 1588801369
1220 MASTER ST STE 6
Corbin, KY 40701
(606) 404-5104
✔ PECOS0.6 mi
Nurse Practitioner
NPI 1457781353
10755 N. US HWY 25E
Gray, KY 40734
(606) 258-8050
✔ PECOS3.9 mi
Nurse Practitioner
NPI 1659183150
378 THOMPSON POYNTER RD
London, KY 40741
(606) 877-3990
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1851042840
1102 S MAIN ST
London, KY 40741
(606) 770-5121
✔ PECOS12 mi
Nurse Practitioner
NPI 1043686561
421 W HIGHWAY 80
London, KY 40741
(606) 657-2345
✔ PECOS13 mi
Nurse Practitioner
NPI 1548896335
421 W HIGHWAY 80
London, KY 40741
(606) 657-2345
✔ PECOS✔ Accepts Medicare13 mi

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 18D2149902

Mercy Medical Clinic · Corbin, KY
Active · expires Jun 12, 2028
CLIA Number18D2149902
Laboratory TypePhysician Office
Certificate Effective DateJune 13, 2026
Certificate Expiration DateJune 12, 2028
Laboratory DirectorMs. Kathryn E. Baker
Laboratory Phone(606) 280-7070
Laboratory LocationMercy Medical Clinic14659 Nn Us Hwy 25E Ste 16, Corbin, KY 40701
CLIA data matches this NPI record on: Name 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 Mercy Medical Clinic PLLC's NPI number?

The NPI number for Mercy Medical Clinic PLLC is 1528557147. It was assigned to this organization in the NPPES registry on May 9, 2018.

Where is Mercy Medical Clinic PLLC located?

Mercy Medical Clinic PLLC is located at 14659 Us N Hwy 25E Ste 16, Corbin, KY 41701. The listed phone number is (606) 280-7070.

What is Mercy Medical Clinic PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mercy Medical Clinic PLLC enrolled in Medicare?

Yes. Mercy Medical Clinic PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mercy Medical Clinic PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Mercy Medical Clinic 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. The largest specialties are Nurse Practitioner (5) and Mental Health Counselor (1). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Mercy Medical Clinic PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2149902) is associated with this NPI, valid through June 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mercy Medical Clinic PLLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Mercy Medical Clinic PLLC 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 Mercy Medical Clinic PLLC was last updated on May 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.