MCCOY PRIMARY CARE LLC
NPI 1659938983
Nurse Practitioner - Family in Bardstown, KY
About Mccoy Primary Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MCCOY PRIMARY CARE LLC (NPI 1659938983) is a healthcare organization registered as a family in Bardstown, Kentucky and active in the NPI registry since May 2019. The organization holds a CLIA Waiver certificate valid through October 2, 2027 and lists Beth A Mccoy, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Mccoy Primary Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Mccoy Primary Care LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 Waiver 18D2172984
Mccoy Primary Care LLC · Bardstown, 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 Mccoy Primary Care LLC's NPI number?
The NPI number for Mccoy Primary Care LLC is 1659938983. It was assigned to this organization in the NPPES registry on May 22, 2019.
Where is Mccoy Primary Care LLC located?
Mccoy Primary Care LLC is located at 141 Parkway Dr, Bardstown, KY 40004. The listed phone number is (502) 348-4757.
What is Mccoy Primary Care LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mccoy Primary Care LLC enrolled in Medicare?
Yes. Mccoy Primary Care LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mccoy Primary Care LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Mccoy Primary Care LLC. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Mccoy Primary Care LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 18D2172984) is associated with this NPI, valid through October 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Mccoy Primary Care LLC accept?
Health plans from Anthem Blue Cross and Blue Shield list Mccoy Primary Care LLC 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 Mccoy Primary Care LLC was last updated on March 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mccoy Primary Care Llc · NPI 1659938983
Family organization in Bardstown, Kentucky. Organization record, active in the CMS NPPES registry since May 22, 2019.
## Identity
- **NPI:** 1659938983 (Entity type: Organization)
- **Enumerated:** May 22, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Beth Mccoy, OWNER
## Practice location
- **Address:** 141 PARKWAY DR, Bardstown, KY 40004-3220
- **Phone:** (502) 348-4757 · **Fax:** (502) 348-4755
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 31, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1659938983) · Data from the CMS NPPES public registry.