MICHELLE JACKSON SUMRALL MD
NPI 1639158520
Pediatrics in Elizabethtown, KY

Q: 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.

Q: What is Michelle Sumrall's specialty?

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

Q: 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.

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: August 16, 2026.

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

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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

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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 Home State Health, Ambetter from Meridian and more.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.

STEPHANIE RAE KELTY APRN

Nurse Practitioner (Pediatrics)