JONATHAN IKE NORTHCUTT
NPI 1154288595
Nurse Practitioner - Acute Care in Florence, KY

Q: What is Jonathan Northcutt's NPI number?

The NPI number for Jonathan Northcutt is 1154288595. It was assigned to this individual provider in the NPPES registry on January 7, 2026.

Q: What is Jonathan Northcutt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Active since January 07, 2026PECOS EnrolledAccepts Medicare Assignment

6909 BURLINGTON PIKE STE B, FLORENCE, KY 41042(859) 912-7716 Get Directions Write a Review

NPPES record last updated: January 19, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 19, 2026, Jan 7, 2026 (2 updates tracked since 2026).

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About Jonathan Ike Northcutt NPPES

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

JONATHAN IKE NORTHCUTT (NPI 1154288595) is an individual acute care provider in Florence, Kentucky, licensed in Kentucky (4051921) and active in the NPI registry since January 2026. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Edgewood, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1154288595

Entity TypeIndividualMale

Primary Taxonomy363LA2100X

Provider Legal NameJONATHAN IKE NORTHCUTT

Location Address6909 BURLINGTON PIKE STE BFlorence, KY 41042-1618

Mailing Address6909 Burlington Pike Ste BFlorence, KY 41042-1618 · (859) 912-7716

Phone(859) 912-7716

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJanuary 7, 2026

Last NPPES UpdateJanuary 19, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 19, 2026

✔ NPI 1154288595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in KY · 4051921

6909 BURLINGTON PIKE STE B, Florence, KY 41042

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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.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

Jonathan Ike Northcutt 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 ID3678048659

PECOS Enrollment IDI20260407002814

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

Kidney Associates Of The Tristate

Same address

Nephrology

6909 BURLINGTON PIKE STE B
Florence, KY 41042

Reassigned Medicare billing, Kentucky enrollment
5 clinicians in this Medicare group

NPI 1831730183 (859) 912-7716

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

Hospital Affiliations CMS Care Compare

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

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number180035

Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41042 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 5

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

AI NGOC TRAN M.D.

Internal Medicine (Nephrology)