Clisty Nicole Earlywine, NP - Medicare Nurse Practitioner in Mount Olivet, KY

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Clisty Nicole Earlywine, NP is a medicare enrolled "Nurse Practitioner" in Mount Olivet, Kentucky. She graduated from nursing school in 2025 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 2666 Thomas Pike, Mount Olivet, Kentucky. You can reach out to her office (for appointments etc.) via phone at (606) 748-9001.

Clisty Nicole Earlywine is licensed to practice in Kentucky (license number 4042462) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1255212965.

Contact Information

Clisty Nicole Earlywine, NP
2666 Thomas Pike,
Mount Olivet, KY 41064-7450
(606) 748-9001
Not Available

Map and Direction




Provider's Profile

Full NameClisty Nicole Earlywine
GenderFemale
SpecialityNurse Practitioner
Experience1 Years
Location2666 Thomas Pike, Mount Olivet, Kentucky
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Clisty Nicole Earlywine graduated from nursing school in 2025
  NPI Data:
  • NPI Number: 1255212965
  • Provider Enumeration Date: 09/09/2025
  • Last Update Date: 09/09/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 4284126384
  • Enrollment ID: I20251125004385

Medical Identifiers

Medical identifiers for Clisty Nicole Earlywine such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255212965NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 4042462 (Kentucky)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Clisty Nicole Earlywine is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Clisty Nicole Earlywine, NP
2666 Thomas Pike,
Mount Olivet, KY 41064-7450

Ph: (606) 748-9001		Clisty Nicole Earlywine, NP
2666 Thomas Pike,
Mount Olivet, KY 41064-7450

Ph: (606) 748-9001

Reviews and Comments


Nurse Practitioner Nurses in Mount Olivet, KY

Kimberly Wells Moore, NP
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 1030 Kentontown Rd, Mount Olivet, KY 41064
Phone: 606-724-5020    
Eugonda Fryman, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 45 Mcdowell St, Mount Olivet, KY 41064
Phone: 606-698-6160    Fax: 335-812-4228
Hunter Alexis Jolly, MSN, APRN, AGACNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 111 Lovins Ln, Mount Olivet, KY 41064
Phone: 606-842-0602    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.