Specialty Physician Assistant,llc
NPI 1528484037 · Clinic/Center · Elkhorn City, KY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Specialty Physician Assistant,llc is a Clinic/Center organization in Elkhorn City, KY (NPI 1528484037).
Provider details
- NPI number
- 1528484037
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Nichol Burchfield, Owner/Member(606) 422-4764
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
- Nurse Practitioner363L00000X
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
12 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
Other names (DBA / former)
- Doing business as
- Russell Fork Walk-In Clinic
- Doing business as
- Russell Fork Walk-In Clinic
Registry dates
- Enumerated
- 2014-03-07
- Last updated
- 2023-11-29
- Certified
- 2023-11-29
Frequently asked questions
- What is Specialty Physician Assistant,llc's NPI number?
- Specialty Physician Assistant,llc's National Provider Identifier (NPI) is 1528484037, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Specialty Physician Assistant,llc?
- Specialty Physician Assistant,llc is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Specialty Physician Assistant,llc located?
- Specialty Physician Assistant,llc's practice location on file with NPPES is 17401 Ky Highway 80 E, Elkhorn City, KY 41522-8226.
- What is Specialty Physician Assistant,llc's phone number?
- The practice phone number listed in the NPPES registry for Specialty Physician Assistant,llc is (606) 754-7100.
- Does Specialty Physician Assistant,llc accept Medicare?
- Specialty Physician Assistant,llc 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 Specialty Physician Assistant,llc?
- The authorized official listed on Specialty Physician Assistant,llc's NPPES record is Nichol Burchfield, Owner/Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Specialty Physician Assistant,llc's NPI active?
- Yes — Specialty Physician Assistant,llc's NPI (1528484037) is active in the NPPES registry as of the last update on 2023-11-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.