CAROL SUE MCGOWAN RN, APRN-BC, ADM--BC
NPI 1083770127
Nurse Practitioner - Adult Health in Louisville, KY

Active since December 30, 2006PECOS EnrolledAccepts Medicare Assignment
73.19/100
CMS Quality Rating
530 S JACKSON ST, LOUISVILLE, KY 40202(502) 562-4308 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carol Sue Mcgowan Rn, Aprn-bc, Adm--bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROL SUE MCGOWAN RN, APRN-BC, ADM--BC (NPI 1083770127) is an individual adult health provider in Louisville, Kentucky, licensed in Kentucky (3671P) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with University Of Louisville Hospital, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1083770127
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameCAROL SUE MCGOWANCredential: RN, APRN-BC, ADM--BC
Location Address530 S JACKSON STLouisville, KY 40202-1675
Mailing Address409 Comanche CtShelbyville, KY 40065-1980 · (502) 633-1493
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateDecember 30, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1083770127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in KY · 3671P
530 S JACKSON ST, Louisville, KY 40202

Other Identifiers 1

Other3671PKY · Arnp License #

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Carol Sue Mcgowan Rn, Aprn-bc, Adm--bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264665025
PECOS Enrollment IDI20180502001369
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
157 services56 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
65 services64 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
25 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Louisville Hospital

Acute Care Hospitals · Louisville, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180141
Location530 South Jackson StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.74
Promoting Interoperability100
Improvement Activities40
Cost51.91

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
530 S JACKSON ST
LOUISVILLE, KY 40202
Nurse Practitioner (Acute Care)
530 S JACKSON ST
LOUISVILLE, KY 40202
Nurse Anesthetist, Certified Registered
530 S JACKSON ST
LOUISVILLE, KY 40202
Radiology (Vascular & Interventional Radiology)
530 S JACKSON ST
LOUISVILLE, KY 40202
Nurse Anesthetist, Certified Registered
530 S JACKSON ST
LOUISVILLE, KY 40202
Nurse Practitioner (Psychiatric/Mental Health)
530 S JACKSON ST
LOUISVILLE, KY 40202
Student in an Organized Health Care Education/Training Program
530 S JACKSON ST
LOUISVILLE, KY 40202
Student in an Organized Health Care Education/Training Program
530 S JACKSON ST
LOUISVILLE, KY 40202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carol Mcgowan's NPI number?

The NPI number for Carol Mcgowan is 1083770127. It was assigned to this individual provider in the NPPES registry on December 30, 2006.

Where is Carol Mcgowan located?

Carol Mcgowan practices at 530 S Jackson St, Louisville, KY 40202. The listed phone number is (502) 562-4308.

What is Carol Mcgowan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Carol Mcgowan enrolled in Medicare?

Yes. Carol Mcgowan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Carol Mcgowan accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Carol Mcgowan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Carol Mcgowan affiliated with any hospitals?

According to CMS data, Carol Mcgowan is affiliated with University Of Louisville Hospital.

When was this NPI record last updated?

The NPPES record for Carol Mcgowan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.