ADVENTHEALTH WOUND CARE AT MANCHESTER
NPI 1912137720
Family Medicine in Manchester, KY

Active since July 15, 2009
515 MEMORIAL DR STE 1, MANCHESTER, KY 40962(606) 598-4524(606) 599-2554 Get Directions Write a Review

NPPES record last updated: February 9, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 9, 2023, Jan 13, 2021, Aug 22, 2019 and 2 more (5 updates tracked since 2018).

About Adventhealth Wound Care At Manchester NPPES

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

ADVENTHEALTH WOUND CARE AT MANCHESTER (NPI 1912137720) is a healthcare organization registered as a family medicine in Manchester, Kentucky and active in the NPI registry since July 2009. The organization lists Sissel Jacob, Ceo, as its authorized official.

NPPES Registry Identity

NPI1912137720
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMEMORIAL HOSPITAL, INC.
Location Address515 MEMORIAL DR STE 1Manchester, KY 40962-9157
Mailing Address210 Marie Langdon DrManchester, KY 40962-6388 · (606) 598-5104
Fax(606) 599-2554
Organization SubpartNo
Authorized OfficialSissel JacobCeo · (606) 598-5104
Enumeration DateJuly 15, 2009
Last NPPES UpdateFebruary 9, 20235 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2023
✔ NPI 1912137720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedPediatricsTaxonomy 208000000X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
515 MEMORIAL DR STE 1, Manchester, KY 40962

Other Names 2

Doing Business AsAdventhealth Wound Care At Manchester
Doing Business AsAdventhealth Medical Group Manchester

Other Identifiers 2

Medicaid78905007KY
Medicaid65934523KY

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)

Adventhealth Wound Care At Manchester is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

123

Medicare enrollment records show 123 clinicians reassign Medicare billing to Adventhealth Wound Care At Manchester, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 41 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 24

Nurse Practitioner59
Internal Medicine10
Certified Registered Nurse Anesthetist (CRNA)8
Emergency Medicine5
General Surgery5
Diagnostic Radiology4
Family Practice4
Pediatric Medicine4
16 other specialties24

Nearest to this location (20)

See all 123
Nurse Practitioner
NPI 1588634745
509 MEMORIAL DR STE 2
Manchester, KY 40962
(606) 598-4538
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1134778475
210 MARIE LANGDON DR
Manchester, KY 40962
(606) 598-5104
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1205086097
210 MARIE LANGDON DR
Manchester, KY 40962
(606) 598-5104
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1811413487
56 MARIE LANGDON DR
Manchester, KY 40962
(606) 599-4080
✔ PECOS✔ Accepts Medicare0.1 mi
Orthopedic Surgery
NPI 1194916213
120 MARIE LANGDON DR SUITE 1
Manchester, KY 40962
(606) 598-4529
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1215306600
210 MARIE LANGDON DR
Manchester, KY 40962
(606) 598-5104
✔ PECOS✔ Accepts Medicare0.1 mi
Internal Medicine
NPI 1770553463
210 MARIE LANGDON DR
Manchester, KY 40962
(606) 598-5104
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1649926866
210 MARIE LANGDON DR
Manchester, KY 40962
(606) 598-5104
✔ PECOS✔ Accepts Medicare0.1 mi
Emergency Medicine
NPI 1699951558
210 MARIE LANGDON DR
Manchester, KY 40962
(606) 598-5104
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1265104194
210 MARIE LANGDON DR
Manchester, KY 40962
(606) 813-1772
✔ PECOS✔ Accepts Medicare0.1 mi
Urology
NPI 1144216318
56 MARIE LANGDON DR
Manchester, KY 40962
(606) 598-5104
✔ PECOS0.1 mi
Pediatric Medicine
NPI 1780065391
56 MARIE LANGDON DR
Manchester, KY 40962
(606) 599-4080
✔ PECOS0.1 mi
Pediatric Medicine
NPI 1629563747
56 MARIE LANGDON DR
Manchester, KY 40962
(606) 599-4080
✔ PECOS0.1 mi
Clinical Psychologist
NPI 1104496504
56 MARIE LANGDON DR
Manchester, KY 40962
(606) 598-4539
✔ PECOS0.1 mi
Emergency Medicine
NPI 1720510837
210 MARIE LANGDON DR
Manchester, KY 40962
(606) 598-6800
✔ PECOS0.1 mi
Osteopathic Manipulative Medicine
NPI 1134231822
94 MARIE LANGDON DR STE 2
Manchester, KY 40962
(606) 599-9955
✔ PECOS✔ Accepts Medicare0.1 mi
Emergency Medicine
NPI 1700076874
509 MEMORIAL DR STE 2
Manchester, KY 40962
(606) 598-8813
✔ PECOS✔ Accepts Medicare0.1 mi
Obstetrics/Gynecology
NPI 1851482947
56 MARIE LANGDON DR
Manchester, KY 40962
(606) 599-4080
✔ PECOS✔ Accepts Medicare0.2 mi
General Surgery
NPI 1134214596
515 MEMORIAL DR STE 1
Manchester, KY 40962
(606) 598-4534
✔ PECOS✔ Accepts Medicare0.2 mi
Internal Medicine
NPI 1326122904
65 GLENDALE DRIVE SUITE 1
Manchester, KY 40962
(606) 599-2508
✔ PECOS✔ Accepts Medicare0.5 mi
See all 123 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Memorial Hospital, Inc.'s NPI number?

The NPI number for Memorial Hospital, Inc. is 1912137720. It was assigned to this organization in the NPPES registry on July 15, 2009. The provider is doing business as Adventhealth Wound Care At Manchester and AdventHealth Medical Group Manchester.

Where is Memorial Hospital, Inc. located?

Memorial Hospital, Inc. is located at 515 Memorial Dr Ste 1, Manchester, KY 40962. The listed phone number is (606) 598-4524.

What is Memorial Hospital, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Memorial Hospital, Inc. enrolled in Medicare?

Yes. Memorial Hospital, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Memorial Hospital, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 123 clinicians in 24 Medicare specialties reassign their Medicare billing to Memorial Hospital, Inc.. 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 (59), Internal Medicine (10) and Certified Registered Nurse Anesthetist (CRNA) (8). Of these, 3 practice at this address and 41 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Memorial Hospital, Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Memorial Hospital, Inc. 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 Memorial Hospital, Inc. was last updated on February 9, 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.