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TRIPCO MEDICAL LLC
NPI 1770016941
Nurse Practitioner - Family in Hopkinsville, KY

Active since April 05, 2017CLIA 18D2127957 · Waiver
111 DERRICK PL, HOPKINSVILLE, KY 42240(270) 874-2629(270) 874-2774 Get Directions Write a Review

NPPES record last updated: April 26, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 26, 2018, Apr 18, 2017 (2 updates tracked since 2017).

About Tripco Medical Llc NPPES

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

TRIPCO MEDICAL LLC (NPI 1770016941) is a healthcare organization registered as a family in Hopkinsville, Kentucky and active in the NPI registry since April 2017. The organization holds a CLIA Waiver certificate valid through March 21, 2027 and lists Autumn Triplett, Owner, as its authorized official.

NPPES Registry Identity

NPI1770016941
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameTRIPCO MEDICAL LLC
Location Address111 DERRICK PLHopkinsville, KY 42240-1325
Mailing Address111 Derrick PlHopkinsville, KY 42240-1325 · (270) 874-2629 · Fax (270) 874-2774
Phone(270) 874-2629
Fax(270) 874-2774
Organization SubpartNo
Authorized OfficialAutumn TriplettOwner · (270) 632-4515
Enumeration DateApril 5, 2017
Last NPPES UpdateApril 26, 20182 updates tracked since enumeration
✔ NPI 1770016941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
111 DERRICK PL, Hopkinsville, KY 42240
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

Tripco Medical Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Tripco Medical LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Autumn Triplett, APRN
Nurse Practitioner
NPI 1235439183
111 DERRICK PL
Hopkinsville, KY 42240
(270) 874-2629
✔ PECOS✔ Accepts MedicareSame address
Robbin Baldwin, APRN
Nurse Practitioner
NPI 1780002329
1724 STATE ST
New Albany, IN 47150
(502) 327-9100
✔ PECOS✔ Accepts Medicare136 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 18D2127957

Tripco Medical · Hopkinsville, KY
Active · expires Mar 21, 2027
CLIA Number18D2127957
Laboratory TypePhysician Office
Certificate Effective DateMarch 22, 2025
Certificate Expiration DateMarch 21, 2027
Laboratory DirectorAutumn Triplett
Laboratory Phone(270) 632-4515
Laboratory LocationTripco Medical111 Derrick St, Hopkinsville, KY 42240
CLIA data matches this NPI record on: Name Phone
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 Tripco Medical LLC's NPI number?

The NPI number for Tripco Medical LLC is 1770016941. It was assigned to this organization in the NPPES registry on April 5, 2017.

Where is Tripco Medical LLC located?

Tripco Medical LLC is located at 111 Derrick Pl, Hopkinsville, KY 42240. The listed phone number is (270) 874-2629.

What is Tripco Medical LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tripco Medical LLC enrolled in Medicare?

Yes. Tripco Medical LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tripco Medical LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Tripco Medical 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Tripco Medical LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2127957) is associated with this NPI, valid through March 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Tripco Medical LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Tripco Medical 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 Tripco Medical LLC was last updated on April 26, 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.