KEVAN PATRICK MCCULLUM APRN
NPI 1114533825
Nurse Practitioner - Family in Louisville, KY

Active since September 17, 2020PECOS EnrolledAccepts Medicare Assignment
73.19/100
CMS Quality Rating
908 DUPONT RD, LOUISVILLE, KY 40207(502) 749-7909 Get Directions Write a Review

NPPES record last updated: September 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 22, 2020, Sep 17, 2020 (2 updates tracked since 2020).

About Kevan Patrick Mccullum Aprn NPPES

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

KEVAN PATRICK MCCULLUM APRN (NPI 1114533825) is an individual family provider in Louisville, Kentucky, licensed in Kentucky (3015146) and active in the NPI registry since September 2020. He is enrolled in Medicare PECOS, is affiliated with Norton Hospitals, Inc, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1114533825
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameKEVAN PATRICK MCCULLUMCredential: APRN
Location Address908 DUPONT RDLouisville, KY 40207-4602
Mailing AddressPo Box 909Louisville, KY 40201-0909
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 17, 2020
Last NPPES UpdateSeptember 22, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2020
NPI 1114533825 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 · 3015146
908 DUPONT RD, Louisville, KY 40207

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

Kevan Patrick Mccullum 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 ID4486074929
PECOS Enrollment IDI20201021002687
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 11

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
127 services90 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
103 services63 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
31 services29 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
25 services21 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
24 services24 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
15 services13 patients

Hospital Affiliations CMS Care Compare

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

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40207 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 14

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

Family Medicine
908 DUPONT RD
LOUISVILLE, KY 40207
Clinic/Center (Adult Day Care)
908 DUPONT RD
LOUISVILLE, KY 40207
Physician Assistant
908 DUPONT RD
LOUISVILLE, KY 40207
Nurse Practitioner (Family)
908 DUPONT RD
LOUISVILLE, KY 40207
Nurse Practitioner (Family)
908 DUPONT RD
LOUISVILLE, KY 40207
Physician Assistant
908 DUPONT RD
LOUISVILLE, KY 40207
Physician Assistant
908 DUPONT RD
LOUISVILLE, KY 40207
Nurse Practitioner (Family)
908 DUPONT RD
LOUISVILLE, KY 40207

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 Kevan Mccullum's NPI number?

The NPI number for Kevan Mccullum is 1114533825. It was assigned to this individual provider in the NPPES registry on September 17, 2020.

Where is Kevan Mccullum located?

Kevan Mccullum practices at 908 Dupont Rd, Louisville, KY 40207. The listed phone number is (502) 749-7909.

What is Kevan Mccullum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kevan Mccullum enrolled in Medicare?

Yes. Kevan Mccullum 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 Kevan Mccullum accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Kevan Mccullum 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 Kevan Mccullum affiliated with any hospitals?

According to CMS data, Kevan Mccullum is affiliated with Norton Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Kevan Mccullum was last updated on September 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.