Individual provider Active NPI

Terry David Pannell, RN

  • Family Nurse Practitioner
  • Pineville, KY
National Provider Identifier
1659611655
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4014805 Issued in KY
Practice address
12904 Robert L Madon Byp Ste 2
Pineville, KY 40977-8063
Phone
(606) 302-0054
NPI assigned
Feb 27, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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 4014805 KY Primary

Addresses

Primary practice location

12904 Robert L Madon Byp Ste 2
Pineville, KY 40977-8063

Mailing address

12904 Robert L Madon Byp # 2
Pineville, KY 40977-8063
Phone (606) 598-4508

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
I20240606003010 KY Practitioner - Nurse Practitioner 5496297384 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hospital, Inc.Group PAC ID 4486616141, 60 clinicians
Concord Medical Group of Kentucky PLLCGroup PAC ID 9133483894, 78 clinicians
Pineville Community Health Center IncGroup PAC ID 5698009157, 39 clinicians

Practice addresses (Care Compare)

12904 Robert L Madon Byp
Pineville, KY 40977-8063
Phone (606) 598-4508

210 Marie Langdon Dr
Manchester, KY 40962-6388
Phone (606) 598-5104

56 Marie Langdon Dr
Manchester, KY 40962-6329
Phone (606) 599-4080

850 Riverview Ave
Pineville, KY 40977-1452
Phone 6063373051251

Hospital & facility affiliations

  • Pineville Community Health Center, Inc Hospital, Pineville, KY, CCN 180154
  • AdventHealthManchester Hospital, Manchester, KY, CCN 180043
  • Harlan Arh Hospital Hospital, Harlan, KY, CCN 180050

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4014805KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital Inc. Family CurrentSince Mar 19, 2024 Accepting new patients
Memorial Hospital, Inc. Family CurrentSince Mar 19, 2024 Accepting new patients
Concord Medical Group of Kentucky PLLC Family CurrentSince Aug 24, 2025 Accepting new patients
Green Valley Emergency Physicians, LLC Family CurrentSince Aug 14, 2025 Accepting new patients
Emmanuel Yumang, MD, PLLC Family Past Accepting new patients

Locations

53 Queendale Ctr
Ste 2
Beverly, KY 40913
Phone (606) 598-5135

1700 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

81 Ball Park Rd
Harlan, KY 40831
Phone (606) 573-8100

102 Professional Dr
#2
London, KY 40741
Phone (606) 598-4500

210 Marie Langdon Dr
Manchester, KY 40962
Phone (865) 985-7047

1530 Lone Oak Rd
Paducah, KY 42003
Phone (270) 444-2444

12904 Robert L Madon Byp
#2
Pineville, KY 40977
Phone (606) 598-4508

850 Riverview Ave
Pineville, KY 40977
Phone (606) 337-3051

240 Hospital Rd
Whitesburg, KY 41858
Phone (606) 633-3500

Interoperability endpoints

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

Organizations & group practices 6

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": "1361923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1659611655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12904 ROBERT L MADON BYP # 2",
            "city": "PINEVILLE",
            "state": "KY",
            "postal_code": "409778063",
            "telephone_number": "606-598-4508",
            "fax_number": "606-599-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12904 ROBERT L MADON BYP STE 2",
            "city": "PINEVILLE",
            "state": "KY",
            "postal_code": "409778063",
            "telephone_number": "606-302-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANNELL",
        "first_name": "TERRY",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-27",
        "last_updated": "2024-06-25",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4014805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pineville, KY

Sources for this page

Verify at the official NPI Registry.