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BROOKE JAYME KACZCOUGHNETT NP
NPI 1114774809
Nurse Practitioner - Adult Health in Cheektowaga, NY

Active since May 01, 2024PECOS Enrolled
14 RAVENSWOOD TER, CHEEKTOWAGA, NY 14225(315) 783-3115 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Brooke Jayme Kaczcoughnett Np NPPES

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

BROOKE JAYME KACZCOUGHNETT NP (NPI 1114774809) is an individual adult health provider in Cheektowaga, New York, licensed in New York (311716) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114774809
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameBROOKE JAYME KACZCOUGHNETTCredential: NP
Location Address14 RAVENSWOOD TERCheektowaga, NY 14225-1145
Mailing Address14 Ravenswood TerCheektowaga, NY 14225-1145 · (315) 783-3115
Phone(315) 783-3115
Sole ProprietorNo
Enumeration DateMay 1, 2024
NPPES CertifiedMay 1, 2024
✔ NPI 1114774809 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 NY · 311716
14 RAVENSWOOD TER, Cheektowaga, NY 14225
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Other Names 1

Former Name (1)Brooke Jayme Vancoughnett Np

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brooke Jayme Kaczcoughnett Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Brooke Kaczcoughnett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Choice Of New York Medical PC
4.7 mi
General Practice
3332 WALDEN AVE, SUITE 110
Depew, NY 14043
  • Reassigned Medicare billing, New York enrollment
  • 18 clinicians in this Medicare group
NPI 1720312754 (716) 668-7051

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 14225 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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 Brooke Kaczcoughnett's NPI number?

The NPI number for Brooke Kaczcoughnett is 1114774809. It was assigned to this individual provider in the NPPES registry on May 1, 2024. The provider is also known as Brooke Jayme Vancoughnett Np.

Where is Brooke Kaczcoughnett located?

Brooke Kaczcoughnett practices at 14 Ravenswood Ter, Cheektowaga, NY 14225. The listed phone number is (315) 783-3115.

What is Brooke Kaczcoughnett's specialty?

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

Is Brooke Kaczcoughnett enrolled in Medicare?

Yes. Brooke Kaczcoughnett is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Brooke Kaczcoughnett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brooke Kaczcoughnett reassigns Medicare benefits to Family Choice Of New York Medical PC (Depew, NY). 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 Brooke Kaczcoughnett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Brooke Kaczcoughnett was last updated on May 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.