STILLWATER HEALTH
NPI 1679283915
Clinic/Center in Paducah, KY

Active since November 28, 2022CLIA 18D2274743 · Waiver
4570 PECAN DR STE C, PADUCAH, KY 42001(270) 519-6655 Get Directions Write a Review

NPPES record last updated: October 14, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 20, 2025, Mar 13, 2025, Feb 15, 2023 and 1 more (4 updates tracked since 2022).

About Stillwater Health NPPES

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

STILLWATER HEALTH (NPI 1679283915) is a healthcare organization registered as a clinic/center in Paducah, Kentucky and active in the NPI registry since November 2022. The organization holds a CLIA Waiver certificate valid through January 9, 2027, maintains a secondary practice location in Eureka, and lists Laura Bailey, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1679283915
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSTILLWATER HEALTH
Location Address4570 PECAN DR STE CPaducah, KY 42001-6717
Mailing Address546 Us Highway 93 N Ste AEureka, MT 59917-9053 · (406) 610-0700 · Fax (406) 610-0701
Organization SubpartNo
Authorized OfficialLaura BaileyPractice Administrator · (270) 442-3535
Enumeration DateNovember 28, 2022
Last NPPES UpdateOctober 14, 20254 updates tracked since enumeration
NPPES CertifiedOctober 14, 2025
✔ NPI 1679283915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedPhysician AssistantTaxonomy 363A00000X
4570 PECAN DR STE C, Paducah, KY 42001

Secondary Practice Location 1

Location 1546 US Highway 93 N Ste AEureka, MT 59917-9053 · Phone (406) 610-0700 · Fax (406) 610-0701

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

Stillwater Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Stillwater Health, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1821538745
4570 PECAN DR STE C
Paducah, KY 42001
(270) 908-3839
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1760606917
1745 W 33RD ST
Edmond, OK 73013
(405) 826-2256
✔ PECOS✔ Accepts Medicare499 mi
Nurse Practitioner
NPI 1174931695
312 DEWEY AVE STE C
Eureka, MT 59917
(406) 407-4906
✔ PECOS✔ Accepts Medicare1,554 mi

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 18D2274743

Stillwater Health · Paducah, KY
Active · expires Jan 9, 2027
CLIA Number18D2274743
Laboratory TypePhysician Office
Certificate Effective DateJanuary 10, 2025
Certificate Expiration DateJanuary 9, 2027
Laboratory DirectorMr. Mikal Bailey
Laboratory Phone(270) 908-3839
Laboratory LocationStillwater Health4570 Pecan Drive, Suite C, Paducah, KY 42001
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Stillwater Health's NPI number?

The NPI number for Stillwater Health is 1679283915. It was assigned to this organization in the NPPES registry on November 28, 2022.

Where is Stillwater Health located?

Stillwater Health is located at 4570 Pecan Dr Ste C, Paducah, KY 42001. The listed phone number is (270) 519-6655.

What is Stillwater Health's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Stillwater Health enrolled in Medicare?

Yes. Stillwater Health is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Stillwater Health?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Stillwater Health, in Family Practice and Nurse Practitioner. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Stillwater Health hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2274743) is associated with this NPI, valid through January 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Stillwater Health accept?

Health plans from Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Montana list Stillwater Health 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 Stillwater Health was last updated on October 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.