COURTNEY BROOKE ADDISON APRN
NPI 1104420835
Nurse Practitioner - Family in Jackson, KY
About Courtney Brooke Addison Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COURTNEY BROOKE ADDISON APRN (NPI 1104420835) is an individual family provider in Jackson, Kentucky, licensed in Kentucky (3014877) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 4
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
Courtney Brooke Addison Aprn 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 41339 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Courtney Addison's NPI number?
The NPI number for Courtney Addison is 1104420835. It was assigned to this individual provider in the NPPES registry on November 23, 2020.
Where is Courtney Addison located?
Courtney Addison practices at 1484 Lakeside Dr, Jackson, KY 41339. The listed phone number is (606) 666-9950.
What is Courtney Addison's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Courtney Addison enrolled in Medicare?
Yes. Courtney Addison 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 Courtney Addison accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Courtney Addison 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.
When was this NPI record last updated?
The NPPES record for Courtney Addison was last updated on November 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Courtney Brooke Addison, APRN · NPI 1104420835
Family physician in Jackson, Kentucky. Individual provider, active in the CMS NPPES registry since November 23, 2020.
## Identity
- **NPI:** 1104420835 (Entity type: Individual)
- **Enumerated:** November 23, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 3014877 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 1484 LAKESIDE DR, Jackson, KY 41339-6555
- **Phone:** (606) 666-9950 · **Fax:** (606) 666-9136
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** November 4, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1104420835) · Data from the CMS NPPES public registry.