CAROLINE LOWE CUNNINGHAM APRN
NPI 1144052028
Nurse Practitioner in Louisville, KY

Active since August 19, 2024PECOS EnrolledAccepts Medicare Assignment
4003 KRESGE WAY STE 312, LOUISVILLE, KY 40207(502) 899-7377 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Caroline Lowe Cunningham Aprn NPPES

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

CAROLINE LOWE CUNNINGHAM APRN (NPI 1144052028) is an individual nurse practitioner in Louisville, Kentucky, licensed in Kentucky (4026488) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Hardin, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1144052028
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCAROLINE LOWE CUNNINGHAMCredential: APRN
Location Address4003 KRESGE WAY STE 312Louisville, KY 40207-4652
Mailing Address255 Salisbury Sq Apt 102Louisville, KY 40207-3540 · (502) 475-5495
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 19, 2024
NPPES CertifiedAugust 19, 2024
NPI 1144052028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in KY · 4026488
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
4003 KRESGE WAY STE 312, 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

Caroline Lowe Cunningham 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 ID9032641733
PECOS Enrollment IDI20241018003708
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

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.
66 services66 patients

Hospital Affiliations CMS Care Compare 4

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

Baptist Health Hardin

Acute Care Hospitals · Elizabethtown, KY
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number180012
Location913 North Dixie AvenueElizabethtown, KY 42701 · Hardin County
Emergency services

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

Baptist Health Louisville

Acute Care Hospitals · Louisville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180130
Location4000 Kresge WayLouisville, KY 40207 · Jefferson County
Emergency services Birthing friendly

Baptist Health Lagrange

Acute Care Hospitals · La Grange, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180138
Location1025 New Moody LaneLa Grange, KY 40031 · Oldham 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.

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.

Internal Medicine (Pulmonary Disease)
4003 KRESGE WAY STE 312
LOUISVILLE, KY 40207
Nurse Practitioner (Acute Care)
4003 KRESGE WAY STE 312
LOUISVILLE, KY 40207
Internal Medicine (Pulmonary Disease)
4003 KRESGE WAY STE 312
LOUISVILLE, KY 40207
Internal Medicine (Pulmonary Disease)
4003 KRESGE WAY STE 312
LOUISVILLE, KY 40207
Internal Medicine (Pulmonary Disease)
4003 KRESGE WAY STE 312
LOUISVILLE, KY 40207
Internal Medicine (Pulmonary Disease)
4003 KRESGE WAY STE 312
LOUISVILLE, KY 40207
Nurse Practitioner (Family)
4003 KRESGE WAY STE 312
LOUISVILLE, KY 40207
Internal Medicine (Pulmonary Disease)
4003 KRESGE WAY STE 312
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 Caroline Cunningham's NPI number?

The NPI number for Caroline Cunningham is 1144052028. It was assigned to this individual provider in the NPPES registry on August 19, 2024.

Where is Caroline Cunningham located?

Caroline Cunningham practices at 4003 Kresge Way Ste 312, Louisville, KY 40207. The listed phone number is (502) 899-7377.

What is Caroline Cunningham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Caroline Cunningham enrolled in Medicare?

Yes. Caroline Cunningham 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 Caroline Cunningham accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Caroline Cunningham 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 Caroline Cunningham affiliated with any hospitals?

According to CMS data, Caroline Cunningham is affiliated with Baptist Health Hardin, Norton Hospitals, Inc, Baptist Health Louisville and Baptist Health Lagrange.

When was this NPI record last updated?

The NPPES record for Caroline Cunningham was last updated on August 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.