MICHELLE JACKSON SUMRALL MD
NPI 1639158520
Pediatrics in Elizabethtown, KY

Active since January 10, 2006PECOS Enrolled
1301 RING RD, ELIZABETHTOWN, KY 42701(270) 765-2107(270) 169-9642 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 24, 2024, Sep 21, 2022, Jan 22, 2021 and 1 more (4 updates tracked since 2015).

About Michelle Jackson Sumrall Md NPPES

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

MICHELLE JACKSON SUMRALL MD (NPI 1639158520) is an individual pediatrics provider in Elizabethtown, Kentucky, licensed in Kentucky (37097) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639158520
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMICHELLE JACKSON SUMRALLCredential: MD
Location Address1301 RING RDElizabethtown, KY 42701-8968
Mailing AddressPo Box 776879Chicago, IL 60677-6879 · (502) 588-9490 · Fax (502) 272-5116
Fax(270) 169-9642
Sole ProprietorNo
Enumeration DateJanuary 10, 2006
Last NPPES UpdateApril 24, 20244 updates tracked since enumeration
NPPES CertifiedApril 24, 2024
NPI 1639158520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in KY · 37097
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1301 RING RD, Elizabethtown, KY 42701

Other Identifiers 4

OtherK182871KY · Medicare
Other000000225528KY · Anthem
Medicaid300052072IN
Medicaid64049216KY

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Michelle Jackson Sumrall Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42701 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 11

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

Pediatrics
1301 RING RD
ELIZABETHTOWN, KY 42701
Social Worker (Clinical)
1301 RING RD
ELIZABETHTOWN, KY 42701
Pediatrics
1301 RING RD
ELIZABETHTOWN, KY 42701
Pediatrics
1301 RING RD
ELIZABETHTOWN, KY 42701
Pediatrics
1301 RING RD
ELIZABETHTOWN, KY 42701
Nurse Practitioner (Family)
1301 RING RD
ELIZABETHTOWN, KY 42701
Pediatrics
1301 RING RD
ELIZABETHTOWN, KY 42701
Nurse Practitioner (Pediatrics)
1301 RING RD
ELIZABETHTOWN, KY 42701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639158520, enumerated as an "individual" on January 10, 2006.

The provider is located at 1301 RING RD ELIZABETHTOWN, KY 42701 and the phone number is (270) 765-2107.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.