Southeast Family Practice Psc
NPI 1033600416 · Rural Health Clinic/Center · Pineville, KY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southeast Family Practice Psc is a Rural Health Clinic/Center organization in Pineville, KY (NPI 1033600416).
Provider details
- NPI number
- 1033600416
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Trampas Nolan, Aprn / Owner(606) 654-6210
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-05-22
- Last updated
- 2023-12-08
- Certified
- 2023-12-08
Frequently asked questions
- What is Southeast Family Practice Psc's NPI number?
- Southeast Family Practice Psc's National Provider Identifier (NPI) is 1033600416, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southeast Family Practice Psc?
- Southeast Family Practice Psc is classified in the NPPES registry as Rural Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Southeast Family Practice Psc located?
- Southeast Family Practice Psc's practice location on file with NPPES is 222 W Tennessee Ave, Pineville, KY 40977-1737.
- What is Southeast Family Practice Psc's phone number?
- The practice phone number listed in the NPPES registry for Southeast Family Practice Psc is (606) 499-5135.
- Does Southeast Family Practice Psc accept Medicare?
- Southeast Family Practice Psc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Southeast Family Practice Psc?
- The authorized official listed on Southeast Family Practice Psc's NPPES record is Trampas Nolan, Aprn / Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southeast Family Practice Psc's NPI active?
- Yes — Southeast Family Practice Psc's NPI (1033600416) is active in the NPPES registry as of the last update on 2023-12-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.