SEBREE MEDICAL GROUP
NPI 1902514904
Clinic/Center - Rural Health in Sebree, KY

Active since November 08, 2022CLIA 18D2272071 · Waiver
7139 STATE ROUTE 56 E, SEBREE, KY 42455(270) 318-5088(270) 318-3131 Get Directions Write a Review

NPPES record last updated: November 8, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sebree Medical Group NPPES

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

SEBREE MEDICAL GROUP (NPI 1902514904) is a healthcare organization registered as a rural health in Sebree, Kentucky and active in the NPI registry since November 2022. The organization holds a CLIA Waiver certificate valid through November 14, 2026 and lists Lesley Kyle Bow, Ceo, as its authorized official.

NPPES Registry Identity

NPI1902514904
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameSEBREE MEDICAL GROUP
Location Address7139 STATE ROUTE 56 ESebree, KY 42455-2136
Mailing AddressPo Box 180Sebree, KY 42455-0180 · (270) 318-5088 · Fax (270) 318-3131
Fax(270) 318-3131
Organization SubpartNo
Authorized OfficialLesley Kyle BowCeo · (407) 456-4591
Enumeration DateNovember 8, 2022
NPPES CertifiedNovember 8, 2022
✔ NPI 1902514904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
7139 STATE ROUTE 56 E, Sebree, KY 42455

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)

Sebree Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Sebree Medical Group, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1649785759
7139 STATE ROUTE 56 E
Sebree, KY 42455
(270) 318-5088
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1770748667
2851 NEW HARTFORD RD STE A
Owensboro, KY 42303
(270) 240-2305
✔ PECOS✔ Accepts Medicare26 mi
Pediatric Medicine
NPI 1356592968
484 TOLLAGE CRK
Pikeville, KY 41501
(606) 230-2255
✔ PECOS275 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 18D2272071

Sebree Medical Group LLC · Sebree, KY
Active · expires Nov 14, 2026
CLIA Number18D2272071
Laboratory TypeRural Health Clinic
Certificate Effective DateNovember 15, 2024
Certificate Expiration DateNovember 14, 2026
Laboratory DirectorMs. Joy Goben
Laboratory Phone(270) 318-5088
Laboratory LocationSebree Medical Group LLC7139 State Route 56 East, Sebree, KY 42455
CLIA data matches this NPI record on: Address Name Phone
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 Sebree Medical Group's NPI number?

The NPI number for Sebree Medical Group is 1902514904. It was assigned to this organization in the NPPES registry on November 8, 2022.

Where is Sebree Medical Group located?

Sebree Medical Group is located at 7139 State Route 56 E, Sebree, KY 42455. The listed phone number is (270) 318-5088.

What is Sebree Medical Group's specialty?

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

Is Sebree Medical Group enrolled in Medicare?

Yes. Sebree Medical Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sebree Medical Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Sebree Medical Group, in Internal Medicine, Nurse Practitioner and Pediatric Medicine. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Sebree Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2272071) is associated with this NPI, valid through November 14, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Sebree Medical Group accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Sebree Medical Group 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 Sebree Medical Group was last updated on November 8, 2022. 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.