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CAROLYN MICHELLE DAVIS RUTHERFORD ARNP
NPI 1780852020
Nurse Practitioner - Family in Middlesboro, KY

Active since February 20, 2008PECOS Enrolled
3602 CUMBERLAND AVE STE B102, MIDDLESBORO, KY 40965(606) 248-7778(606) 248-7787 Get Directions Write a Review

NPPES record last updated: October 21, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Carolyn Michelle Davis Rutherford Arnp NPPES

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

CAROLYN MICHELLE DAVIS RUTHERFORD ARNP (NPI 1780852020) is an individual family provider in Middlesboro, Kentucky, licensed in Kentucky (5516P) and active in the NPI registry since February 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780852020
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCAROLYN MICHELLE DAVIS RUTHERFORDCredential: ARNP
Location Address3602 CUMBERLAND AVE STE B102Middlesboro, KY 40965-2614
Mailing AddressPo Box 2898Middlesboro, KY 40965-4898 · (606) 248-7778 · Fax (606) 248-7787
Phone(606) 248-7778
Fax(606) 248-7787
Sole ProprietorNo
Enumeration DateFebruary 20, 2008
Last NPPES UpdateOctober 21, 2019
✔ NPI 1780852020 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
License✔ Licensed in KY · 5516P
3602 CUMBERLAND AVE STE B102, Middlesboro, KY 40965
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carolyn Michelle Davis Rutherford Arnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Carolyn Rutherford reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kentucky Friendly Care Center, Inc.
0.2 mi
Rural Health
125 LOTHBURY AVENUE
Middlesboro, KY 40965
  • Reassigned Medicare billing, Kentucky enrollment
  • 11 clinicians in this Medicare group
NPI 1467939066 (606) 248-5322

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40965 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 4

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

RACHEL ANDREA JONES-TACKETT CPNP-PC
Nurse Practitioner (Pediatrics)
3602 CUMBERLAND AVE STE B102
MIDDLESBORO, KY 40965
Bell County (606) 248-7778
RADWA CLARISSA OMAR APRN
Nurse Practitioner (Family)
3602 CUMBERLAND AVE STE B102
MIDDLESBORO, KY 40965
Bell County (606) 248-7778
APPALACHIAN REGIONAL HEALTHCARE, INC
Clinic/Center (Multi-Specialty)
3602 CUMBERLAND AVE STE B102
MIDDLESBORO, KY 40965
Bell County (606) 242-1577
BRIGHT FUTURE PRIMARY CARE
Registered Nurse
3602 CUMBERLAND AVE STE B102
MIDDLESBORO, KY 40965
Bell County (606) 248-7778

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 Carolyn Rutherford's NPI number?

The NPI number for Carolyn Rutherford is 1780852020. It was assigned to this individual provider in the NPPES registry on February 20, 2008.

Where is Carolyn Rutherford located?

Carolyn Rutherford practices at 3602 Cumberland Ave Ste B102, Middlesboro, KY 40965. The listed phone number is (606) 248-7778.

What is Carolyn Rutherford's specialty?

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

Is Carolyn Rutherford enrolled in Medicare?

Yes. Carolyn Rutherford is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carolyn Rutherford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carolyn Rutherford reassigns Medicare benefits to Kentucky Friendly Care Center, Inc. (Middlesboro, KY). The 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 Carolyn Rutherford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Carolyn Rutherford was last updated on October 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.