LEITCHFIELD PEDIATRIC CLINIC P.S.C.
NPI 1558318543
Clinic/Center - Rural Health in Leitchfield, KY
About Leitchfield Pediatric Clinic P.s.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LEITCHFIELD PEDIATRIC CLINIC P.S.C. (NPI 1558318543) is a healthcare organization registered as a rural health in Leitchfield, Kentucky and active in the NPI registry since May 2006. The organization holds a CLIA Certificate of Compliance certificate valid through September 19, 2028 and lists Lynn Robinson, Creditialing, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 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)
Leitchfield Pediatric Clinic P.s.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Leitchfield Pediatric Clinic P.S.C., which bills Medicare for the services they deliver. Of these, 5 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
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 Compliance 18D0691478
Leitchfield Pediatric Clinic Psc · Leitchfield, KYFrequently 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 Leitchfield Pediatric Clinic P.S.C.'s NPI number?
The NPI number for Leitchfield Pediatric Clinic P.S.C. is 1558318543. It was assigned to this organization in the NPPES registry on May 27, 2006.
Where is Leitchfield Pediatric Clinic P.S.C. located?
Leitchfield Pediatric Clinic P.S.C. is located at 901 Wallace Ave, Leitchfield, KY 42754. The listed phone number is (270) 259-5641.
What is Leitchfield Pediatric Clinic P.S.C.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Leitchfield Pediatric Clinic P.S.C. enrolled in Medicare?
Yes. Leitchfield Pediatric Clinic P.S.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Leitchfield Pediatric Clinic P.S.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to Leitchfield Pediatric Clinic P.S.C.. 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 Pediatric Medicine (6) and Nurse Practitioner (3). Of these, 5 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Leitchfield Pediatric Clinic P.S.C. hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 18D0691478) is associated with this NPI, valid through September 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Leitchfield Pediatric Clinic P.S.C. accept?
Health plans from Anthem Blue Cross and Blue Shield list Leitchfield Pediatric Clinic P.S.C. 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 Leitchfield Pediatric Clinic P.S.C. was last updated on October 20, 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.
# Leitchfield Pediatric Clinic P.s.c. · NPI 1558318543
Rural Health organization in Leitchfield, Kentucky. Organization record, active in the CMS NPPES registry since May 27, 2006.
## Identity
- **NPI:** 1558318543 (Entity type: Organization)
- **Enumerated:** May 27, 2006
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Organization subpart:** No
- **Authorized official:** Lynn Robinson, CREDITIALING
## Practice location
- **Address:** 901 WALLACE AVE, Leitchfield, KY 42754-1417
- **Phone:** (270) 259-5641 · **Fax:** (270) 259-5309
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Pediatric Medicine (6), Nurse Practitioner (3); 5 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 20, 2020
- **Other identifiers:** Medicaid 65926883 (KY)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1558318543) · Data from the CMS NPPES public registry.