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MARY ELIZABETH SETSER ARNP
NPI 1619302262
Nurse Practitioner - Family in Prestonsburg, KY

Active since September 13, 2013PECOS EnrolledAccepts Medicare Assignment
5000 KY ROUTE 321, PRESTONSBURG, KY 41653(606) 886-7645(606) 886-6206 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mary Elizabeth Setser Arnp NPPES

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

MARY ELIZABETH SETSER ARNP (NPI 1619302262) is an individual family provider in Prestonsburg, Kentucky, licensed in Kentucky (3007807) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS, is affiliated with Highlands Arh Regional Medical Center, and is a graduate of Jc Edwards School Of Medicine, Marshall University (2012).

NPPES Registry Identity

NPI1619302262
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY ELIZABETH SETSERCredential: ARNP
Location Address5000 KY ROUTE 321Prestonsburg, KY 41653-9113
Mailing Address5000 Ky Route 321Prestonsburg, KY 41653-9113 · (606) 886-7645 · Fax (606) 886-6206
Phone(606) 886-7645
Fax(606) 886-6206
Sole ProprietorNo
Medical School CMSJc Edwards School Of Medicine, Marshall UniversityGraduated 2012
Enumeration DateSeptember 13, 2013
Last NPPES UpdateJuly 30, 2026
NPPES CertifiedJuly 30, 2026
✔ NPI 1619302262 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 · 3007807
5000 KY ROUTE 321, Prestonsburg, KY 41653
Open in Google Maps ↗

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

Mary Elizabeth Setser Arnp 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 ID6901034891
PECOS Enrollment IDI20140123000933
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 Reassignments

7

Medicare enrollment records show Mary Setser reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Arh Tug Valley Health Services, Inc.
Same address
Multi-Specialty
5000 KY ROUTE 321 STE 1001
Prestonsburg, KY 41653
  • Reassigned Medicare billing, Kentucky enrollment
  • 242 clinicians in this Medicare group
NPI 1700445319 (606) 889-6390
Appalachian Regional Healthcare, Inc
0.2 mi
Rural Health
4851 KENTUCKY HIGHWAY 321
Prestonsburg, KY 41653
  • Reassigned Medicare billing, Kentucky enrollment
  • 419 clinicians in this Medicare group
NPI 1144814757 (606) 886-3831
Eastern Kentucky Tender Care Pediatrics LLC
3.3 mi
Rural Health
400 UNIVERSITY DR STE 101
Prestonsburg, KY 41653
  • Reassigned Medicare billing, Kentucky enrollment
  • 19 clinicians in this Medicare group
NPI 1043437254 (606) 886-1173
Frontier Medical Associates Of Prestonsburg Inc
3.3 mi
Rural Health
400 UNIVERSITY DR STE 211A
Prestonsburg, KY 41653
  • Reassigned Medicare billing, Kentucky enrollment
  • 35 clinicians in this Medicare group
NPI 1447840798 (606) 886-6622
Frontier Medical Associates Of Paintsville Inc
5.9 mi
Rural Health
713 BROADWAY ST STE 301B
Paintsville, KY 41240
  • Reassigned Medicare billing, Kentucky enrollment
  • 38 clinicians in this Medicare group
NPI 1568070142 (606) 372-1234
Martin County Rural Health Clinic PLLC
15 mi
Rural Health
64 KIRK PLZ
Inez, KY 41224
  • Reassigned Medicare billing, Kentucky enrollment
  • 25 clinicians in this Medicare group
NPI 1316363112 (606) 298-2520
Albaree Health Services LLC
15 mi
Internal Medicine
900 TOM FRAZIER WAY, STE 200
Salyersville, KY 41465
  • Reassigned Medicare billing, Kentucky enrollment
  • 37 clinicians in this Medicare group
NPI 1730232182 (606) 349-8100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Highlands Arh Regional Medical Center

Acute Care Hospitals · Prestonsburg, KY
2/5 CMS rating
OwnershipProprietary
CMS Certification Number180005
Location5000 Kentucky Route 321Prestonsburg, KY 41653 · Floyd County
Emergency services Birthing friendly

Paul B Hall Regional Medical Center

Acute Care Hospitals · Paintsville, KY
1/5 CMS rating
OwnershipProprietary
CMS Certification Number180078
Location625 James S Trimble BoulevardPaintsville, KY 41240 · Johnson County
Emergency services

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180103
Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41653 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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers12 claims35 services$6.96 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers40 claims40 services$20.78 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers13 claims13 services$37.73 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers76 claims76 services$112.75 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$35.00 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$23.53 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

VEDANSHI SANDIP SHAH
Student in an Organized Health Care Education/Training Program
5000 KY ROUTE 321
PRESTONSBURG, KY 41653
Floyd County (859) 990-9418
HIGHLANDS REGIONAL MEDICAL CENTER
Skilled Nursing Facility
5000 KY ROUTE 321
PRESTONSBURG, KY 41653
Floyd County (606) 886-8511
MRS. FRANCESCA PASCUA SMITH CRNA, DNAP
Nurse Anesthetist, Certified Registered
5000 KY ROUTE 321
PRESTONSBURG, KY 41653
Floyd County (606) 886-8511
DR. HIMACHALA R. VELIGANDLA M.D.
Internal Medicine (Cardiovascular Disease)
5000 KY ROUTE 321
PRESTONSBURG, KY 41653
Floyd County (606) 889-6210
DR. CHAD O PATTERSON MD
Surgery
5000 KY ROUTE 321
PRESTONSBURG, KY 41653
Floyd County (606) 886-7645
ARH TUG VALLEY HEALTH SERVICES, INC.
General Acute Care Hospital
5000 KY ROUTE 321
PRESTONSBURG, KY 41653
Floyd County (606) 886-8511
ARH TUG VALLEY HEALTH SERVICES, INC.
Psychiatric Unit
5000 KY ROUTE 321
PRESTONSBURG, KY 41653
Floyd County (606) 886-8511
AMANDA CONN
Physical Therapy Assistant
5000 KY ROUTE 321
PRESTONSBURG, KY 41653
Floyd County (606) 886-7598

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 Mary Setser's NPI number?

The NPI number for Mary Setser is 1619302262. It was assigned to this individual provider in the NPPES registry on September 13, 2013.

Where is Mary Setser located?

Mary Setser practices at 5000 Ky Route 321, Prestonsburg, KY 41653. The listed phone number is (606) 886-7645.

What is Mary Setser's specialty?

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

Is Mary Setser enrolled in Medicare?

Yes. Mary Setser 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 organizations bill Medicare for Mary Setser's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Setser reassigns Medicare benefits to 7 organizations: Arh Tug Valley Health Services, Inc. (Prestonsburg, KY), Appalachian Regional Healthcare, Inc (Prestonsburg, KY), Eastern Kentucky Tender Care Pediatrics LLC (Prestonsburg, KY), Frontier Medical Associates Of Prestonsburg Inc (Prestonsburg, KY), Frontier Medical Associates Of Paintsville Inc (Paintsville, KY) and 2 more organizations, listed in the Medicare section above. Each 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 Mary Setser's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Setser accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and CareSource list Mary Setser 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.

Is Mary Setser affiliated with any hospitals?

According to CMS data, Mary Setser is affiliated with Highlands Arh Regional Medical Center, Paul B Hall Regional Medical Center and Baptist Health Lexington.

When was this NPI record last updated?

The NPPES record for Mary Setser was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.