CARL DON COFFEY APRN
NPI 1861811093
Nurse Practitioner in Whitley City, KY

Active since April 15, 2014PECOS EnrolledAccepts Medicare Assignment
71 MEDICAL LN, WHITLEY CITY, KY 42653(606) 376-7212(606) 687-3151 Get Directions Write a Review

NPPES record last updated: September 11, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carl Don Coffey Aprn NPPES

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

CARL DON COFFEY APRN (NPI 1861811093) is an individual nurse practitioner in Whitley City, Kentucky, licensed in Kentucky (3008615) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Wayne County Hospital, and is a graduate of Lincoln Memorial University Medical Department (2013).

NPPES Registry Identity

NPI1861811093
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameCARL DON COFFEYCredential: APRN
Location Address71 MEDICAL LNWhitley City, KY 42653-4216
Mailing Address1 S Creek Dr, Suite 102Monticello, KY 42633-9472 · (606) 348-3365 · Fax (606) 348-8496
Fax(606) 687-3151
Sole ProprietorNo
Medical School CMSLincoln Memorial University Medical DepartmentGraduated 2013
Enumeration DateApril 15, 2014
Last NPPES UpdateSeptember 11, 2016
NPI 1861811093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in KY · 3008615
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
71 MEDICAL LN, Whitley City, KY 42653

Other Identifiers 2

Medicaid7100295840KY
Medicare OSCAR/certificationK133360KY

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Carl Don Coffey 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.

PECOS PAC ID7719100684
PECOS Enrollment IDI20140521001723
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.

Areas of Expertise CMS Part B claims 4

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.

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
38 services26 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
36 services25 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
34 services22 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
26 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wayne County Hospital

Critical Access Hospitals · Monticello, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181321
Location166 Hospital StreetMonticello, KY 42633 · Wayne County
Emergency services

Physician 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.

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers18 claims18 services$119.17 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner
71 MEDICAL LN
WHITLEY CITY, KY 42653
Nurse Practitioner
71 MEDICAL LN
WHITLEY CITY, KY 42653
Specialist
71 MEDICAL LN
WHITLEY CITY, KY 42653
Nurse Practitioner (Family)
71 MEDICAL LN
WHITLEY CITY, KY 42653
Specialist
71 MEDICAL LN
WHITLEY CITY, KY 42653
Nurse Practitioner
71 MEDICAL LN
WHITLEY CITY, KY 42653
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
71 MEDICAL LN
WHITLEY CITY, KY 42653
Nurse Practitioner
71 MEDICAL LN
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 Carl Coffey's NPI number?

The NPI number for Carl Coffey is 1861811093. It was assigned to this individual provider in the NPPES registry on April 15, 2014.

Where is Carl Coffey located?

Carl Coffey practices at 71 Medical Ln, Whitley City, KY 42653. The listed phone number is (606) 376-7212.

What is Carl Coffey's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Carl Coffey enrolled in Medicare?

Yes. Carl Coffey 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.

What insurance does Carl Coffey accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Carl Coffey 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 Carl Coffey affiliated with any hospitals?

According to CMS data, Carl Coffey is affiliated with Wayne County Hospital.

When was this NPI record last updated?

The NPPES record for Carl Coffey was last updated on September 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.