BEAVER CREEK EMERGENCY GROUP LLC
NPI 1689165904
Emergency Medicine in Martin, KY
About Beaver Creek Emergency Group Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BEAVER CREEK EMERGENCY GROUP LLC (NPI 1689165904) is a healthcare organization registered as an emergency medicine in Martin, Kentucky and active in the NPI registry since May 2018. The organization lists Lisha C Falk, Vp Of Contracting, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Beaver Creek Emergency Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
26Medicare enrollment records show 26 clinicians reassign Medicare billing to Beaver Creek Emergency Group LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 26Pikeville, KY 41501
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Beaver Creek Emergency Group LLC's NPI number?
The NPI number for Beaver Creek Emergency Group LLC is 1689165904. It was assigned to this organization in the NPPES registry on May 22, 2018.
Where is Beaver Creek Emergency Group LLC located?
Beaver Creek Emergency Group LLC is located at 11203 Main St, Martin, KY 41649. The listed phone number is (606) 285-6490.
What is Beaver Creek Emergency Group LLC's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Beaver Creek Emergency Group LLC enrolled in Medicare?
Yes. Beaver Creek Emergency Group LLC is registered in the Medicare PECOS enrollment system.
When is Beaver Creek Emergency Group LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Kentucky, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Beaver Creek Emergency Group LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 26 clinicians in 6 Medicare specialties reassign their Medicare billing to Beaver Creek Emergency Group 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. The largest specialties are Nurse Practitioner (9), Emergency Medicine (7) and Family Practice (6). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Beaver Creek Emergency Group LLC accept?
Health plans from Anthem Blue Cross and Blue Shield list Beaver Creek Emergency Group 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 Beaver Creek Emergency Group LLC was last updated on March 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Beaver Creek Emergency Group Llc · NPI 1689165904
Emergency Medicine organization in Martin, Kentucky. Organization record, active in the CMS NPPES registry since May 22, 2018.
## Identity
- **NPI:** 1689165904 (Entity type: Organization)
- **Enumerated:** May 22, 2018
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **Organization subpart:** No
- **Authorized official:** Lisha Falk, VP OF CONTRACTING
## Practice location
- **Address:** 11203 MAIN ST, Martin, KY 41649-7999
- **Phone:** (606) 285-6490
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Kentucky, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 26 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (9), Emergency Medicine (7), Family Practice (6); 2 practice within 10 miles; [full list](https://npiprofile.com/npi/1689165904/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 23, 2022
- **Other identifiers:** Medicaid 7100576290 (KY)
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Source: [NPI Profile](https://npiprofile.com/npi/1689165904) · Data from the CMS NPPES public registry.