PENNYROYAL HEALTHCARE SERVICES, INC
NPI 1740672617
Clinic/Center - Federally Qualified Health Center (FQHC) in Princeton, KY
About Pennyroyal Healthcare Services, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PENNYROYAL HEALTHCARE SERVICES, INC (NPI 1740672617) is a healthcare organization registered as a federally qualified health center (fqhc) in Princeton, Kentucky and active in the NPI registry since March 2015. The organization lists Kecia Fulcher, Ceo/director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Pennyroyal Healthcare Services, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
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
30Medicare enrollment records show 30 clinicians reassign Medicare billing to Pennyroyal Healthcare Services, Inc, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 7
Nearest to this location (20)
See all 30Source: 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 Pennyroyal Healthcare Services, Inc's NPI number?
The NPI number for Pennyroyal Healthcare Services, Inc is 1740672617. It was assigned to this organization in the NPPES registry on March 2, 2015.
Where is Pennyroyal Healthcare Services, Inc located?
Pennyroyal Healthcare Services, Inc is located at 310 Hawthorne St, Princeton, KY 42445. The listed phone number is (270) 886-2205.
What is Pennyroyal Healthcare Services, Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Pennyroyal Healthcare Services, Inc enrolled in Medicare?
Yes. Pennyroyal Healthcare Services, Inc is registered in the Medicare PECOS enrollment system.
When is Pennyroyal Healthcare Services, Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Kentucky, Federally Qualified Health Center (FQHC)) is due for revalidation by December 31, 2026. 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 Pennyroyal Healthcare Services, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 30 clinicians in 7 Medicare specialties reassign their Medicare billing to Pennyroyal Healthcare Services, Inc. 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 (18), Dentist (4) and Family Practice (4). Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Pennyroyal Healthcare Services, Inc accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and UnitedHealthcare list Pennyroyal Healthcare Services, Inc 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 Pennyroyal Healthcare Services, Inc was last updated on March 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Pennyroyal Healthcare Services, Inc · NPI 1740672617
Federally Qualified Health Center (FQHC) organization in Princeton, Kentucky. Organization record, active in the CMS NPPES registry since March 2, 2015.
## Identity
- **NPI:** 1740672617 (Entity type: Organization)
- **Enumerated:** March 2, 2015
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Kecia Fulcher, CEO/DIRECTOR
## Practice location
- **Address:** 310 HAWTHORNE ST, Princeton, KY 42445-1622
- **Phone:** (270) 886-2205 · **Fax:** (270) 886-0392
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Part A, Kentucky, Federally Qualified Health Center (FQHC)) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 30 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (18), Dentist (4), Family Practice (4); 3 practice at this address and 5 within 10 miles; [full list](https://npiprofile.com/npi/1740672617/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 16, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1740672617) · Data from the CMS NPPES public registry.