Individual provider Active NPI

Nicole Pursifull, NP

  • Family Nurse Practitioner
  • Middlesboro, KY
National Provider Identifier
1316488935
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3011189 Issued in KY
Practice address
2145 US Highway 25 E
Middlesboro, KY 40965-1874
Phone
(606) 248-8503
NPI assigned
Mar 15, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3011189 KY Primary

Addresses

Primary practice location

2145 US Highway 25 E
Middlesboro, KY 40965-1874

Mailing address

37 Ball Park Rd
Harlan, KY 40831-1701
Phone (606) 573-4520

Other practice location 1

37 Ball Park Rd
Harlan, KY 40831-1701
Phone (606) 573-4520

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nicolegibson@arh.medalliesdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170726002240 KY Practitioner - Nurse Practitioner 0547538977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Lincoln Memorial University Medical Department, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Appalachian Regional Healthcare IncGroup PAC ID 0840107835, 301 clinicians

Practice addresses (Care Compare)

2004 Cumberland Ave
Suite 100
Middlesboro, KY 40965-1385
Phone (606) 248-3015

2145 US Hwy 25 E
Middlesboro, KY 40965-1874

3600 Cumberland Ave
Middlesboro, KY 40965-2614

3602 Cumberland Ave
Middlesboro, KY 40965-2614

3602 W Cumberland Ave
Suite B102
Middlesboro, KY 40965-2614

Hospital & facility affiliations

  • Middlesboro Arh Hospital Hospital, Middlesboro, KY, CCN 180020

Merit-based Incentive Payment System (MIPS)

Final score
82.15 of 100Reported as apm
Quality
47.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian Regional Healthcare, Inc. Family CurrentSince Sep 10, 2018 Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Sep 10, 2018 Accepting new patients
Appalachian Regional Healthcare, Inc Family Current Accepting new patients
Appalachian Regional Healthcare, Inc. Family Past Accepting new patients

Locations

37 Ball Park Rd
Harlan, KY 40831
Phone (606) 263-3900

100 Airport Gardens Rd
Ste 311
Hazard, KY 41701
Phone (606) 439-6978

2145 US Highway 25 E
Middlesboro, KY 40965
Phone (606) 248-3582

2004 Cumberland Ave
Ste 100
Middlesboro, KY 40965
Phone (606) 248-3015

3600 Cumberland Ave
Middlesboro, KY 40965
Phone (606) 237-1700

Interoperability endpoints

  • Direct secure messaging: nicolegibson@arh.medalliesdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1316488935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 BALL PARK RD",
            "city": "HARLAN",
            "state": "KY",
            "postal_code": "408311701",
            "telephone_number": "606-573-4520",
            "fax_number": "606-573-6392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 US HIGHWAY 25 E",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409651874",
            "telephone_number": "606-248-8503"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37 Ball Park Rd",
            "address_purpose": "LOCATION",
            "city": "Harlan",
            "state": "KY",
            "postal_code": "408311701",
            "country_code": "US",
            "telephone_number": "606-573-4520",
            "fax_number": "606-573-6392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PURSIFULL",
        "first_name": "NICOLE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-15",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3011189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nicolegibson@arh.medalliesdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Standard Direct Functionality",
            "address_1": "37 Ball Park Rd",
            "city": "Harlan",
            "state": "KY",
            "country_code": "US",
            "postal_code": "408311701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Middlesboro, KY

Sources for this page

Verify at the official NPI Registry.