SPECIALISTSMAT PSC
NPI 1851998181
Anesthesiology - Addiction Medicine in Elizabethtown, KY

Active since October 09, 2020CLIA 18D2198020 · Accreditation
110 CHASE WAY STE 2, ELIZABETHTOWN, KY 42701(502) 212-0071(502) 530-5303 Get Directions Write a Review

NPPES record last updated: November 17, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 17, 2025, Sep 15, 2025, Sep 9, 2025 and 3 more (6 updates tracked since 2020).

About Specialistsmat Psc NPPES

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

SPECIALISTSMAT PSC (NPI 1851998181) is a healthcare organization registered as an addiction medicine in Elizabethtown, Kentucky and active in the NPI registry since October 2020. The organization holds an CLIA Accreditation certificate valid through March 15, 2028, maintains a secondary practice location in Jeffersontown, and lists Cara Nicole Netherton, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1851998181
Entity TypeOrganization
Primary Taxonomy207LA0401X
Legal Business NameSPECIALISTSMAT PSC
Location Address110 CHASE WAY STE 2Elizabethtown, KY 42701-7827
Mailing Address110 Chase Way Ste 2Elizabethtown, KY 42701-7827 · (502) 212-0071 · Fax (502) 996-8359
Fax(502) 530-5303
Organization SubpartNo
Authorized OfficialCara Nicole NethertonPractice Manager · (502) 212-0071
Enumeration DateOctober 9, 2020
Last NPPES UpdateNovember 17, 20256 updates tracked since enumeration
NPPES CertifiedNovember 17, 2025
✔ NPI 1851998181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyAnesthesiology · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LA0401X
Definition
An anesthesiologist who specializes in the diagnosis and treatment of addictions.
Also ListedPsychologistTaxonomy 103T00000X
Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X
110 CHASE WAY STE 2, Elizabethtown, KY 42701

Secondary Practice Location 1

Location 13310 Ruckriegel PkwyJeffersontown, KY 40299-3764 · Phone (502) 212-0071 · Fax (502) 996-8359

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Specialistsmat Psc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Specialistsmat Psc, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (8)

Pain Management
NPI 1770671547
110 CHASE WAY STE 2
Elizabethtown, KY 42701
(502) 212-0071
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1831978998
110 CHASE WAY STE 2
Elizabethtown, KY 42701
(502) 212-0071
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1043562267
110 CHASE WAY STE 2
Elizabethtown, KY 42701
(502) 212-0071
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1013227446
9702 STONESTREET RD STE. 110
Louisville, KY 40272
(502) 589-8600
✔ PECOS✔ Accepts Medicare25 mi
Neuropsychiatry
NPI 1053511949
3310 RUCKRIEGEL PKWY
Jeffersontown, KY 40299
(502) 212-0071
✔ PECOS✔ Accepts Medicare36 mi
Nurse Practitioner
NPI 1750831137
100 MALLARD CREEK RD STE 406
Louisville, KY 40207
(502) 895-4607
✔ PECOS✔ Accepts Medicare37 mi
Addiction Medicine
NPI 1306093877
944 SEARCY WAY
Bowling Green, KY 42103
(270) 467-7180
✔ PECOS✔ Accepts Medicare62 mi
Nurse Practitioner
NPI 1730894817
124 DOWELL RD
Russell Springs, KY 42642
(270) 866-2440
✔ PECOS66 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 Accreditation 18D2198020

Specialists Mat Psc · Jeffersontown, KY
Active · expires Mar 15, 2028
CLIA Number18D2198020
Laboratory TypePhysician Office
Certificate Effective DateMarch 16, 2026
Certificate Expiration DateMarch 15, 2028
Laboratory DirectorDr. Nancy F. Lerner
Laboratory Phone(502) 212-0071
Laboratory LocationSpecialists Mat Psc11907 Plantside Drive, Jeffersontown, KY 40299
CLIA data matches this NPI record on: Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Specialistsmat Psc's NPI number?

The NPI number for Specialistsmat Psc is 1851998181. It was assigned to this organization in the NPPES registry on October 9, 2020.

Where is Specialistsmat Psc located?

Specialistsmat Psc is located at 110 Chase Way Ste 2, Elizabethtown, KY 42701. The listed phone number is (502) 212-0071.

What is Specialistsmat Psc's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Addiction Medicine, with taxonomy code 207LA0401X.

Is Specialistsmat Psc enrolled in Medicare?

Yes. Specialistsmat Psc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Specialistsmat Psc?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 4 Medicare specialties reassign their Medicare billing to Specialistsmat Psc. 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 (5), Addiction Medicine (1) and Neuropsychiatry (1). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Specialistsmat Psc hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 18D2198020) is associated with this NPI, valid through March 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Specialistsmat Psc accept?

Health plans from Anthem Blue Cross and Blue Shield list Specialistsmat Psc 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 Specialistsmat Psc was last updated on November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.