MRS. KENZIE RAYE REEDER
NPI 1174294193
Nurse Practitioner - Primary Care in Louisville, KY

Active since September 21, 2021PECOS Enrolled
1009A N DUPONT SQ, LOUISVILLE, KY 40207(502) 894-9950 Get Directions Write a Review

NPPES record last updated: February 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Kenzie Raye Reeder NPPES

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

MRS. KENZIE RAYE REEDER (NPI 1174294193) is an individual primary care provider in Louisville, Kentucky, licensed in Kentucky (3016700) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Russell Springs.

NPPES Registry Identity

NPI1174294193
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMRS. KENZIE RAYE REEDER
Location Address1009A N DUPONT SQLouisville, KY 40207-4612
Mailing Address1009a N Dupont SqLouisville, KY 40207-4612 · (502) 894-9950
Sole ProprietorNo
Enumeration DateSeptember 21, 2021
Last NPPES UpdateFebruary 19, 2024
NPPES CertifiedFebruary 19, 2024
NPI 1174294193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in KY · 3016700
1009A N DUPONT SQ, Louisville, KY 40207

Other Names 1

Former Name (1)Ms. Kenzie Raye Mcgowan Kenzie Raye Mcgowan

Secondary Practice Location 1

Location 1124 Dowell RdRussell Springs, KY 42642-4278 · Phone (270) 866-2440

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Kenzie Raye Reeder 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.

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 4

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

Physician Assistant (Medical)
1009A N DUPONT SQ
LOUISVILLE, KY 40207
Pharmacy (Community/Retail Pharmacy)
1009A N DUPONT SQ, STE 203
LOUISVILLE, KY 40207
Physician Assistant (Medical)
1009A N DUPONT SQ
LOUISVILLE, KY 40207
Pharmacy
1009A N DUPONT SQ
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 Kenzie Reeder's NPI number?

The NPI number for Kenzie Reeder is 1174294193. It was assigned to this individual provider in the NPPES registry on September 21, 2021. The provider is also known as Ms. Kenzie Raye Mcgowan Kenzie Raye Mcgowan.

Where is Kenzie Reeder located?

Kenzie Reeder practices at 1009A N Dupont Sq, Louisville, KY 40207. The listed phone number is (502) 894-9950.

What is Kenzie Reeder's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Kenzie Reeder enrolled in Medicare?

Yes. Kenzie Reeder is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kenzie Reeder was last updated on February 19, 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.