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PERRY COUNTY MEMORIAL HOSPITAL
NPI 1740151489
Nurse Practitioner in Tell City, IN

Active since September 16, 2025
715 MAIN ST, TELL CITY, IN 47586(812) 548-4480(812) 772-0560 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 5, 2026, Nov 17, 2025, Sep 16, 2025 (3 updates tracked since 2025).

About Perry County Memorial Hospital NPPES

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

PERRY COUNTY MEMORIAL HOSPITAL (NPI 1740151489), doing business as Main Street Clinic, is a healthcare organization registered as a nurse practitioner in Tell City, Indiana and active in the NPI registry since September 2025. The organization lists Crystal Lee Hinton, Provider Enrollment, as its authorized official.

NPPES Registry Identity

NPI1740151489
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NamePERRY COUNTY MEMORIAL HOSPITAL
Location Address715 MAIN STTell City, IN 47586-1705
Mailing Address715 Main StTell City, IN 47586-1705 · (812) 548-4480 · Fax (812) 772-0560
Phone(812) 548-4480
Fax(812) 772-0560
Organization SubpartNo
Authorized OfficialCrystal Lee HintonProvider Enrollment · (812) 772-0589
Enumeration DateSeptember 16, 2025
Last NPPES UpdateMay 5, 20263 updates tracked since enumeration
NPPES CertifiedMay 5, 2026
✔ NPI 1740151489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
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.
715 MAIN ST, Tell City, IN 47586
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Other Names 1

Doing Business AsMain Street Clinic

Other Identifiers 2

Medicaid300124476IN
Medicaid7101121230KY

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

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.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)

Perry County Memorial Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

46

Medicare enrollment records show 46 clinicians reassign Medicare billing to Perry County Memorial Hospital, which bills Medicare for the services they deliver. Of these, 16 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 12

Nurse Practitioner17
Neurology6
Family Practice5
Orthopedic Surgery4
General Surgery3
Rheumatology3
Endocrinology2
Podiatry2
4 other specialties4

Nearest to this location (20)

See all 46
Samantha Polk, FNP-C
Nurse Practitioner
NPI 1417357542
602 MAIN ST
Tell City, IN 47586
(812) 608-0468
✔ PECOS0.1 mi
Kayla Lawalin, FNP
Nurse Practitioner
NPI 1194320549
847 MAIN ST
Tell City, IN 47586
(812) 772-2391
✔ PECOS0.2 mi
Kristin Johnson, NP
Nurse Practitioner
NPI 1003165275
211 US HIGHWAY 66 E
Tell City, IN 47586
(812) 979-2136
✔ PECOS✔ Accepts Medicare0.6 mi
Jerry Pearson, MD
General Surgery
NPI 1043252166
148 13TH ST SUITE B
Tell City, IN 47586
(812) 547-0333
✔ PECOS0.7 mi
Donald Rothrauff, DPM
Podiatry
NPI 1922110154
1432 MAIN ST
Tell City, IN 47586
(812) 547-7482
✔ PECOS✔ Accepts Medicare0.7 mi
Amber Anderson, PMHNP-BC
Nurse Practitioner
NPI 1326759879
109 US HIGHWAY 66 E
Tell City, IN 47586
(812) 547-3447
✔ PECOS✔ Accepts Medicare0.7 mi
Erlina Bay, FNP
Nurse Practitioner
NPI 1629463716
109 US HIGHWAY 66 E
Tell City, IN 47586
(812) 547-3447
✔ PECOS✔ Accepts Medicare0.7 mi
Melissa Breitweiser
Nurse Practitioner
NPI 1114521895
109 US HIGHWAY 66 E
Tell City, IN 47586
(812) 547-3447
✔ PECOS✔ Accepts Medicare0.7 mi
Samara Heflin, FNP-C
Nurse Practitioner
NPI 1679451041
109 US HIGHWAY 66 E
Tell City, IN 47586
(812) 547-3447
✔ PECOS✔ Accepts Medicare0.7 mi
Haley Kaufman, PMHNP-BC
Nurse Practitioner
NPI 1982439022
109 US HIGHWAY 66 E
Tell City, IN 47586
(812) 547-3447
✔ PECOS✔ Accepts Medicare0.7 mi
Andrea Polk, FNP
Nurse Practitioner
NPI 1427368208
109 US HIGHWAY 66 E
Tell City, IN 47586
(812) 547-3447
✔ PECOS✔ Accepts Medicare0.7 mi
Joshua Poos, M.D.
Family Practice
NPI 1134142540
109 US HIGHWAY 66 E
Tell City, IN 47586
(812) 547-3447
✔ PECOS✔ Accepts Medicare0.7 mi
Stephen Syler, MD
Family Practice
NPI 1801882857
109 US HIGHWAY 66 E
Tell City, IN 47586
(812) 547-3447
✔ PECOS✔ Accepts Medicare0.7 mi
Aubrey Welp, NP-C
Nurse Practitioner
NPI 1386109221
109 US HIGHWAY 66 E
Tell City, IN 47586
(812) 547-3447
✔ PECOS✔ Accepts Medicare0.7 mi
Sidney Raetz, FNP-C
Nurse Practitioner
NPI 1124689633
109 US HIGHWAY 66 E
Tell City, IN 47586
(812) 547-3447
✔ PECOS✔ Accepts Medicare0.7 mi
Megan Brockman, APRN
Nurse Practitioner
NPI 1629528252
35 JOSHUA LN
Hawesville, KY 42348
(270) 927-1000
✔ PECOS✔ Accepts Medicare3.6 mi
Krystle Hahus, M.D.
Pediatric Medicine
NPI 1275974255
18485 STATE ROAD 37
Leopold, IN 47551
(812) 843-3038
✔ PECOS✔ Accepts Medicare14 mi
Carrie Arias, M.D.
Family Practice
NPI 1679833313
105 S 2ND ST
Rockport, IN 47635
(812) 649-4313
✔ PECOS✔ Accepts Medicare16 mi
Jennifer Meunier, NP
Nurse Practitioner
NPI 1316422504
3821 VINCENT STATION DR
Owensboro, KY 42303
(270) 478-5334
✔ PECOS✔ Accepts Medicare20 mi
Erik Lanham, DO
General Surgery
NPI 1417484775
2801 NEW HARTFORD RD
Owensboro, KY 42303
(270) 683-3720
✔ PECOS✔ Accepts Medicare23 mi
See all 46 clinicians

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 Perry County Memorial Hospital's NPI number?

The NPI number for Perry County Memorial Hospital is 1740151489. It was assigned to this organization in the NPPES registry on September 16, 2025. The provider is doing business as Main Street Clinic.

Where is Perry County Memorial Hospital located?

Perry County Memorial Hospital is located at 715 Main St, Tell City, IN 47586. The listed phone number is (812) 548-4480.

What is Perry County Memorial Hospital's specialty?

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

Is Perry County Memorial Hospital enrolled in Medicare?

Yes. Perry County Memorial Hospital is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Perry County Memorial Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 46 clinicians in 12 Medicare specialties reassign their Medicare billing to Perry County Memorial Hospital. 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 (17), Neurology (6) and Family Practice (5). Of these, 16 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Perry County Memorial Hospital accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Perry County Memorial Hospital 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 Perry County Memorial Hospital was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.