Active NPI
Sandra Dee McCoy, APRN
- Family Nurse Practitioner
- Clay City, KY
National Provider Identifier
1770697211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3002780
- Practice address
- 749 Irvine Rd
Clay City, KY 40312-9732 - Phone
- (606) 663-2153
- Fax
- (606) 663-7966
- NPI assigned
- Aug 19, 2006
- Last updated
- May 26, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3002780 | KY | Primary |
Addresses
Primary practice location
749 Irvine Rd
Clay City, KY 40312-9732
Mailing address
749 Irvine Rd
Clay City, KY 40312-9732
Phone (606) 663-2153
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 607850200 | Other | KY | FEDERAL BLACK LUNG |
| 78002631 | Medicaid | KY |
Other names 1
- Miss Sandra Dee Mullins
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
749 Irvine Rd
Clay City, KY 40312-9732
Phone (606) 663-2153
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Clinics, LLC | Current | Accepting new patients | |
| Mercy Health Clinics, LLC | Current | Accepting new patients | |
| Mercy Health Clinics, LLC | Past | Accepting new patients |
Locations
749 Irvine Rd
Clay City, KY 40312
Phone (606) 663-2153
1100 Richmond Rd
Irvine, KY 40336
Phone (606) 723-7706
Interoperability endpoints
- smccoy52078@direct.bsmhealth.org
Organizations & group practices 3
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.
-
dba Mercy Health Lee County Primary Care
- Rural Health Clinic/Center
- Beattyville, KY
- NPI 1609151471
-
dba Mercy Health Irvin Primary Care
- Rural Health Clinic/Center
- Irvine, KY
- NPI 1811132525
-
dba Mercy Health Powell County Primary Care
- Rural Health Clinic/Center
- Clay City, KY
- NPI 1386921948
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adoration Home Health Care
- Home Health Agency
- Mt Sterling, KY
- NPI 1326096140
-
dba Baptist Health Lexington
- General Acute Care Hospital
- Lexington, KY
- NPI 1538244918
-
dba Clark Regional Medical Center
- General Acute Care Hospital
- Winchester, KY
- NPI 1811213994
-
dba Mercy Health Marcum and Wallace Hospital
- Critical Access Hospital
- Irvine, KY
- NPI 1487643821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779753600000",
"number": "1770697211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "749 IRVINE RD",
"city": "CLAY CITY",
"state": "KY",
"postal_code": "403129732",
"telephone_number": "606-663-2153",
"fax_number": "606-663-7966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "749 IRVINE RD",
"city": "CLAY CITY",
"state": "KY",
"postal_code": "403129732",
"telephone_number": "606-663-2153",
"fax_number": "606-663-7966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOY",
"first_name": "SANDRA",
"middle_name": "DEE",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-19",
"last_updated": "2026-05-26",
"certification_date": "2026-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3002780",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL BLACK LUNG",
"identifier": "607850200",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "78002631",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SANDRA",
"last_name": "MULLINS",
"middle_name": "DEE",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Clay City, KY
- Kentucky River Foothills Development Council, Inc.
- Kentucky River Foothills Development Council, Inc.
- Kentuckyone Health Medical Group Inc (KentuckyOne Health Primary Care Associates)
- Gari Michelle Kiser, APRN
- Lab One of Ohio Inc (Quest Diagnostics)
- Mercy Health Clinics, LLC (Mercy Health Powell County Primary Care)
- Dorrita Mullins, ARNP
- New Hope Behavioral Health & Wellness
- Powell Adult Day Care
- Powell County Health Department (Clay City Elementary School)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.