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COURTNEY BROOKE ADDISON APRN
NPI 1104420835
Nurse Practitioner - Family in Jackson, KY

Active since November 23, 2020PECOS EnrolledAccepts Medicare Assignment
1484 LAKESIDE DR, JACKSON, KY 41339(606) 666-9950(606) 666-9136 Get Directions Write a Review

NPPES record last updated: November 4, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 4, 2022, Oct 26, 2022, Nov 23, 2020 (3 updates tracked since 2020).

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

NPI1104420835
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCOURTNEY BROOKE ADDISONCredential: APRN
Location Address1484 LAKESIDE DRJackson, KY 41339-6555
Mailing AddressPo Box 690Beattyville, KY 41311-0690 · (606) 464-0151 · Fax (606) 464-0152
Phone(606) 666-9950
Fax(606) 666-9136
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 23, 2020
Last NPPES UpdateNovember 4, 20223 updates tracked since enumeration
NPPES CertifiedNovember 2, 2022
✔ NPI 1104420835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 3014877
1484 LAKESIDE DR, Jackson, KY 41339
Open in Google Maps ↗

Secondary Practice Locations 4

Location 11219 W Main StWest Liberty, KY 41472-2161 · Phone (606) 743-4808 · Fax (606) 743-4716
Location 2202 Plummer StCampton, KY 41301-9381 · Phone (606) 668-7385 · Fax (606) 668-7009
Location 3308 N KY 7Sandy Hook, KY 41171 · Phone (606) 738-9785 · Fax (859) 317-2148
Location 41025 Grand AvenueBeattyville, KY 41311 · Phone (606) 464-2401 · Fax (606) 464-3290

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

PECOS PAC ID7911376892
PECOS Enrollment IDI20221215002485
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.

Medicare Billing Reassignment

Medicare enrollment records show Courtney Addison reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Juniper Health Inc
Same address
Federally Qualified Health Center (FQHC)
1484 LAKESIDE DRIVE
Jackson, KY 41339
  • Reassigned Medicare billing, Kentucky enrollment
  • 22 clinicians in this Medicare group
NPI 1467417691 (606) 666-9950

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.

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.

HEATHER R BANKS APRN
Nurse Practitioner (Family)
1484 LAKESIDE DR
JACKSON, KY 41339
Breathitt County (606) 666-9950
KELSEA B COMBS PA-C
Physician Assistant
1484 LAKESIDE DR
JACKSON, KY 41339
Breathitt County (606) 666-9950
ASHLEY-ANN A TURNER APRN-CNP
Nurse Practitioner (Pediatrics)
1484 LAKESIDE DR
JACKSON, KY 41339
Breathitt County (606) 666-9950
CRYSTAL DAWN MEYER MSN, APRN, FNP-C
Nurse Practitioner (Family)
1484 LAKESIDE DR
JACKSON, KY 41339
Breathitt County (606) 666-9950
CANDICE LEE CAMPBELL PHARMD RPH
Pharmacist
1484 LAKESIDE DR
JACKSON, KY 41339
Breathitt County (606) 666-9950
MR. ALAN K SLOAS APRN
Nurse Practitioner (Family)
1484 LAKESIDE DR
JACKSON, KY 41339
Breathitt County (606) 666-9950
JAMES B WEST PA-C
Physician Assistant
1484 LAKESIDE DR
JACKSON, KY 41339
Breathitt County (606) 666-9950
MR. SCOTTY DWAYNE COMBS APRN
Nurse Practitioner (Family)
1484 LAKESIDE DR
JACKSON, KY 41339
Breathitt County (606) 666-9950

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.

Which organization bills Medicare for Courtney Addison's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Courtney Addison reassigns Medicare benefits to Juniper Health Inc (Jackson, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Courtney Addison's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Courtney Addison accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield 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.