MRS. KRISTY SCEARSE APRN
NPI 1700214210
Nurse Practitioner in Barbourville, KY

Q: What is Kristy Scearse's NPI number?

The NPI number for Kristy Scearse is 1700214210. It was assigned to this individual provider in the NPPES registry on October 18, 2013.

Q: What is Kristy Scearse's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Kristy Scearse was last updated on October 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 October 18, 2013PECOS Enrolled

80 HOSPITAL DRIVE, BARBOURVILLE, KY 40906(606) 546-4175(606) 545-5572 Get Directions Write a Review

NPPES record last updated: October 18, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Mrs. Kristy Scearse Aprn NPPES

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

MRS. KRISTY SCEARSE APRN (NPI 1700214210) is an individual nurse practitioner in Barbourville, Kentucky, licensed in Kentucky (3008295) and active in the NPI registry since October 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1700214210

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. KRISTY SCEARSECredential: APRN

Location Address80 HOSPITAL DRIVEBarbourville, KY 40906-7262

Mailing AddressPo Box 246Bledsoe, KY 40810 · (606) 273-0670 · Fax (606) 545-5572

Phone(606) 546-4175

Fax(606) 545-5572

Sole ProprietorYes

Medical School CMSOtherGraduated 2013

Enumeration DateOctober 18, 2013

✔ NPI 1700214210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in KY · 3008295

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

80 HOSPITAL DRIVE, Barbourville, KY 40906

Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kristy Scearse Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325274467

PECOS Enrollment IDI20131120001547

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

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

Hometown Urgent Care

32 mi

Urgent Care

1540 SOUTH U.S. HWY 421 BY-PASS
Harlan, KY 40831

Reassigned Medicare billing, Kentucky enrollment
7 clinicians in this Medicare group

NPI 1730795261 (606) 573-9939

Central Ky Urgent Care Center Inc

69 mi

Urgent Care

103 KEYSTONE DR
Richmond, KY 40475

Reassigned Medicare billing, Kentucky enrollment
9 clinicians in this Medicare group

NPI 1023535796 (513) 449-9099

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

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

120 services15 patients

Injection, ceftriaxone sodium, per 250 mg J0696

Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.

88 services21 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

46 services42 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

43 services29 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

20 services20 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

18 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40906 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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KNOX HOSPITAL CORPORATION

Emergency Medicine

80 HOSPITAL DRIVE
BARBOURVILLE, KY 40906

Knox County (606) 546-4175

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 Kristy Scearse's NPI number?

The NPI number for Kristy Scearse is 1700214210. It was assigned to this individual provider in the NPPES registry on October 18, 2013.

Where is Kristy Scearse located?

Kristy Scearse practices at 80 Hospital Drive, Barbourville, KY 40906. The listed phone number is (606) 546-4175.

What is Kristy Scearse's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kristy Scearse enrolled in Medicare?

Yes. Kristy Scearse is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kristy Scearse's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristy Scearse reassigns Medicare benefits to 2 organizations: Hometown Urgent Care (Harlan, KY) and Central Ky Urgent Care Center Inc (Richmond, 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 Kristy Scearse's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristy Scearse accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter of Tennessee list Kristy Scearse 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 Kristy Scearse was last updated on October 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.