TERRY LAWSON APRN
NPI 1851613228
Nurse Practitioner in Whitley City, KY
About Terry Lawson Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TERRY LAWSON APRN (NPI 1851613228) is an individual nurse practitioner in Whitley City, Kentucky, licensed in Kentucky (3006373) and active in the NPI registry since February 2010. He is enrolled in Medicare PECOS, is affiliated with Lake Cumberland Regional Hospital, and is a graduate of University Of Kentucky College Of Medicine (2009).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Terry Lawson Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Terry Lawson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Whitley City, KY 42653
- Reassigned Medicare billing, Kentucky enrollment
- 7 clinicians in this Medicare group
Pine Knot, KY 42635
- Reassigned Medicare billing, Kentucky enrollment
- 5 clinicians in this Medicare group
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 2
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Lake Cumberland Regional Hospital
Acute Care Hospitals · Somerset, KYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 42653 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 5
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WHITLEY CITY, KY 42653
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 Terry Lawson's NPI number?
The NPI number for Terry Lawson is 1851613228. It was assigned to this individual provider in the NPPES registry on February 25, 2010.
Where is Terry Lawson located?
Terry Lawson practices at 71 Medical Ln, Whitley City, KY 42653. The listed phone number is (606) 376-7212.
What is Terry Lawson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Terry Lawson enrolled in Medicare?
Yes. Terry Lawson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Terry Lawson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Terry Lawson reassigns Medicare benefits to 2 organizations: Southfork Medical Clinic PLLC (Whitley City, KY) and Cumberland Family Clinic, PLLC (Pine Knot, 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 Terry Lawson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Terry Lawson accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Terry Lawson 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.
Is Terry Lawson affiliated with any hospitals?
According to CMS data, Terry Lawson is affiliated with Lake Cumberland Regional Hospital.
When was this NPI record last updated?
The NPPES record for Terry Lawson was last updated on October 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Terry Lawson, APRN · NPI 1851613228
Nurse Practitioner physician in Whitley City, Kentucky. Individual provider, active in the CMS NPPES registry since February 25, 2010.
## Identity
- **NPI:** 1851613228 (Entity type: Individual)
- **Enumerated:** February 25, 2010
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 3006373 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 71 MEDICAL LN, Whitley City, KY 42653-4216
- **Phone:** (606) 376-7212 · **Fax:** (606) 376-7216
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Southfork Medical Clinic PLLC (NPI 1295718757, Whitley City, KY); Cumberland Family Clinic, PLLC (NPI 1366703159, Pine Knot, KY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Kentucky College Of Medicine, class of 2009
## Record status
- **NPPES last updated:** October 26, 2015
- **Other identifiers:** Medicare UPIN P39421 (KY)
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Source: [NPI Profile](https://npiprofile.com/npi/1851613228) · Data from the CMS NPPES public registry.