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MINUTEMAN MEDICINE LLC
NPI 1871905166
Clinic/Center - Rural Health in Hi Hat, KY

Active since May 21, 2014CLIA 18D2233317 · Waiver
17721 KY ROUTE 122, HI HAT, KY 41636(606) 949-1006 Get Directions Write a Review

NPPES record last updated: October 5, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 5, 2023, Jun 1, 2023, Apr 27, 2022 and 1 more (4 updates tracked since 2022).

About Minuteman Medicine Llc NPPES

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

MINUTEMAN MEDICINE LLC (NPI 1871905166) is a healthcare organization registered as a rural health in Hi Hat, Kentucky and active in the NPI registry since May 2014. The organization holds a CLIA Waiver certificate valid through August 22, 2027, maintains 2 additional practice locations, and lists Michael Sanders, Do, as its authorized official.

NPPES Registry Identity

NPI1871905166
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMINUTEMAN MEDICINE LLC
Location Address17721 KY ROUTE 122Hi Hat, KY 41636-6235
Mailing Address17721 Ky Route 122Hi Hat, KY 41636-6235 · (606) 949-1006
Phone(606) 949-1006
Organization SubpartNo
Authorized OfficialMichael SandersDo · (606) 949-1006
Enumeration DateMay 21, 2014
Last NPPES UpdateOctober 5, 20234 updates tracked since enumeration
NPPES CertifiedOctober 5, 2023
✔ NPI 1871905166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License DO1053 (SC)
17721 KY ROUTE 122, Hi Hat, KY 41636
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Secondary Practice Locations 2

Location 13695 Spindrift DrMT Pleasant, SC 29466-7552 · Phone (606) 949-1006
Location 23612 Goodwater StMT Pleasant, SC 29466-7643 · Phone (606) 949-1006

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

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Minuteman Medicine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateKentuckyEnrollment IDO20211014002434Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Minuteman Medicine LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Kayla Hall, APRN, FNP-C
Nurse Practitioner
NPI 1992501902
17721 KY ROUTE 122
Hi Hat, KY 41636
(606) 949-1006
✔ PECOS✔ Accepts MedicareSame address
Michael Sanders, D.O.
Internal Medicine
NPI 1942301213
17721 KY ROUTE 122
Hi Hat, KY 41636
(606) 949-1006
✔ PECOS✔ Accepts MedicareSame address
Jennifer Boyd, APRN FNP-C
Nurse Practitioner
NPI 1932766862
2172 JOHNS BR
Langley, KY 41645
(606) 285-9722
✔ PECOS✔ Accepts Medicare11 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 Waiver 18D2233317

Minuteman Medicine, LLC · Hi Hat, KY
Active · expires Aug 22, 2027
CLIA Number18D2233317
Laboratory TypePhysician Office
Certificate Effective DateAugust 23, 2025
Certificate Expiration DateAugust 22, 2027
Laboratory DirectorDr. Michael B. Sanders
Laboratory Phone(843) 214-0734
Laboratory LocationMinuteman Medicine, LLC17721 Ky Rt 122, Hi Hat, KY 41636
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Minuteman Medicine LLC's NPI number?

The NPI number for Minuteman Medicine LLC is 1871905166. It was assigned to this organization in the NPPES registry on May 21, 2014.

Where is Minuteman Medicine LLC located?

Minuteman Medicine LLC is located at 17721 Ky Route 122, Hi Hat, KY 41636. The listed phone number is (606) 949-1006.

What is Minuteman Medicine LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Minuteman Medicine LLC enrolled in Medicare?

Yes. Minuteman Medicine LLC is registered in the Medicare PECOS enrollment system.

When is Minuteman Medicine LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Kentucky, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Minuteman Medicine LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Minuteman Medicine LLC, in Internal Medicine 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Minuteman Medicine LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2233317) is associated with this NPI, valid through August 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Minuteman Medicine LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Minuteman Medicine LLC 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 Minuteman Medicine LLC was last updated on October 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.