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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: October 18, 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
Phone(270) 765-2107
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
Open in Google Maps ↗

Other Identifiers 4

OtherK182871KY · Medicare
Other000000225528KY · Anthem
Medicaid300052072IN
Medicaid64049216KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 (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.

Medicare Billing Reassignments

2

Medicare enrollment records show Michelle Sumrall reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Medical Associates
0.7 mi
Radiology
157 TOWNE DR STE 101
Elizabethtown, KY 42701
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,896 clinicians in this Medicare group
NPI 1669245510 (270) 740-5201
Norton Children's Medical Group, LLC
44 mi
Clinical Genetics (M.D.)
4803 OLYMPIA PARK PLZ STE 1100
Louisville, KY 40241
  • Reassigned Medicare billing, Kentucky enrollment
  • Medicare enrollment name: Norton Childrens Medical Group LLC
  • 1,008 clinicians in this Medicare group
NPI 1013559921 (502) 272-5336

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

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.

STEPHANIE RAE KELTY APRN
Nurse Practitioner (Pediatrics)
1301 RING RD
ELIZABETHTOWN, KY 42701
Hardin County (270) 765-2107
KRISTINA L KNISELY MD
Pediatrics
1301 RING RD
ELIZABETHTOWN, KY 42701
Hardin County (270) 765-2107
LINNEA L SMITH MD
Pediatrics
1301 RING RD
ELIZABETHTOWN, KY 42701
Hardin County (270) 765-2107
DR. HILARY ANDERSON M.D.
Pediatrics
1301 RING RD
ELIZABETHTOWN, KY 42701
Hardin County (270) 765-2107
ALEXIS COLE M.D.
Pediatrics
1301 RING RD
ELIZABETHTOWN, KY 42701
Hardin County (270) 765-2107
TYLER B HARP MD
Pediatrics
1301 RING RD
ELIZABETHTOWN, KY 42701
Hardin County (270) 765-2107
AMANDA R. OWEN ARNP
Nurse Practitioner (Pediatrics)
1301 RING RD
ELIZABETHTOWN, KY 42701
Hardin County (270) 765-2107
PHILLIP G PADGETT M.D.
Pediatrics
1301 RING RD
ELIZABETHTOWN, KY 42701
Hardin County (270) 765-2107

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 Michelle Sumrall's NPI number?

The NPI number for Michelle Sumrall is 1639158520. It was assigned to this individual provider in the NPPES registry on January 10, 2006.

Where is Michelle Sumrall located?

Michelle Sumrall practices at 1301 Ring Rd, Elizabethtown, KY 42701. The listed phone number is (270) 765-2107.

What is Michelle Sumrall's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Michelle Sumrall enrolled in Medicare?

Yes. Michelle Sumrall is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michelle Sumrall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Sumrall reassigns Medicare benefits to 2 organizations: Community Medical Associates (Elizabethtown, KY) and Norton Children's Medical Group, LLC (Louisville, KY). 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 Michelle Sumrall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michelle Sumrall accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter of Tennessee and CareSource list Michelle Sumrall 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 Michelle Sumrall was last updated on April 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.