SATELLITE MED, PLLC
NPI 1861515397
Clinic/Center - Urgent Care in Cookeville, TN

Active since April 09, 2007CLIA 44D1050198 · Certificate of Compliance
1120 SAMS ST, COOKEVILLE, TN 38506(931) 528-7312 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Satellite Med, Pllc NPPES

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

SATELLITE MED, PLLC (NPI 1861515397) is a healthcare organization registered as an urgent care in Cookeville, Tennessee and active in the NPI registry since April 2007. The organization holds a CLIA Certificate of Compliance certificate valid through June 27, 2028 and lists Sean Van Kerkhove, Coo, as its authorized official.

NPPES Registry Identity

NPI1861515397
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameSATELLITE MED, PLLC
Location Address1120 SAMS STCookeville, TN 38506-4006
Mailing Address1120 Sams StCookeville, TN 38506-4006 · (931) 528-7312
Organization SubpartNo
Authorized OfficialSean Van KerkhoveCoo · (615) 975-8613
Enumeration DateApril 9, 2007
Last NPPES UpdateJune 24, 2025
NPPES CertifiedJune 24, 2025
✔ NPI 1861515397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
Also ListedFamily MedicineTaxonomy 207Q00000X
1120 SAMS ST, Cookeville, TN 38506

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)

Satellite Med, Pllc 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 Satellite Med, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Family Practice
NPI 1073517892
1120 SAMS ST
Cookeville, TN 38506
(931) 528-7312
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1033105713
105 S WILLOW AVE
Cookeville, TN 38501
(931) 526-9518
✔ PECOS✔ Accepts Medicare2.0 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 Compliance 44D1050198

Satellite Med, PLLC · Cookeville, TN
Active · expires Jun 27, 2028
CLIA Number44D1050198
Laboratory TypePhysician Office
Certificate Effective DateJune 28, 2026
Certificate Expiration DateJune 27, 2028
Laboratory DirectorAmy S. Gillentine
Laboratory Phone(931) 528-7312
Laboratory LocationSatellite Med, PLLC1120 Sam's Street, Cookeville, TN 38506
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Satellite Med, PLLC's NPI number?

The NPI number for Satellite Med, PLLC is 1861515397. It was assigned to this organization in the NPPES registry on April 9, 2007.

Where is Satellite Med, PLLC located?

Satellite Med, PLLC is located at 1120 Sams St, Cookeville, TN 38506. The listed phone number is (931) 528-7312.

What is Satellite Med, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Is Satellite Med, PLLC enrolled in Medicare?

Yes. Satellite Med, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Satellite Med, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Satellite Med, PLLC, in Family Practice and Nurse Practitioner. 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 and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Satellite Med, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 44D1050198) is associated with this NPI, valid through June 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Satellite Med, PLLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 31 other insurers list Satellite Med, PLLC 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 Satellite Med, PLLC was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.