Individual provider Active NPI

Susan Carol Cullop, APRN

  • Family Nurse Practitioner
  • Forest Hills, KY
National Provider Identifier
1730644337
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3013124 Issued in KY
Practice address
551 Forest Hills Rd
Forest Hills, KY 41527-8322
Phone
(630) 824-8662
NPI assigned
Feb 7, 2019
Last updated
Aug 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

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 3013124 KY Primary

Addresses

Primary practice location

551 Forest Hills Rd
Forest Hills, KY 41527-8322

Mailing address

5000 Ky Route 321
Prestonsburg, KY 41653-9113
Phone (606) 889-6390

Other practice location 1

5000 Ky Route 321
Prestonsburg, KY 41653-9113
Phone (606) 889-6390

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address scullop00@arh.medalliesdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230421002517 TN Practitioner - Nurse Practitioner 7214392422 Reassigns benefits to 1 organization
I20231229001494 KY Practitioner - Nurse Practitioner 7214392422 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5000 Ky Route 321
Prestonsburg, KY 41653-9113

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

State licenses

LicenseStateTypeSpecialty
3013124KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arh Tug Valley Health Services, Inc. Current Accepting new patients
Arh Tug Valley Health Services, Inc. CurrentSince Dec 12, 2023 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jan 12, 2023 Accepting new patients
Arh Tug Valley Health Services, Inc. Family CurrentSince Dec 12, 2023 Accepting new patients

Locations

100 Airport Gardens Rd
Ste 311
Hazard, KY 41701

713 Broadway St
Ste 103
Paintsville, KY 41240
Phone (606) 372-1400

5000 Ky Route 321
Prestonsburg, KY 41653
Phone (606) 886-7645

5000 Ky Route 321
Ste 1001
Prestonsburg, KY 41653
Phone (606) 889-6390

300 Montvue Rd
Knoxville, TN 37919
Phone (818) 613-6769

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1549497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1730644337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 KY ROUTE 321",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416539113",
            "telephone_number": "606-889-6390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 FOREST HILLS RD",
            "city": "FOREST HILLS",
            "state": "KY",
            "postal_code": "415278322",
            "telephone_number": "630-824-8662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5000 Ky Route 321",
            "address_purpose": "LOCATION",
            "city": "Prestonsburg",
            "state": "KY",
            "postal_code": "416539113",
            "country_code": "US",
            "telephone_number": "606-889-6390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CULLOP",
        "first_name": "SUSAN",
        "middle_name": "CAROL",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-07",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3013124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "scullop00@arh.medalliesdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Standard Direct Functionality",
            "address_1": "5000 Ky Route 321",
            "city": "Prestonsburg",
            "state": "KY",
            "country_code": "US",
            "postal_code": "416539113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Forest Hills, KY

Sources for this page

Verify at the official NPI Registry.