VALERIE MCCULLOUGH
NPI 1225657877
Nurse Practitioner in Louisville, KY

Q: What is Valerie Mccullough's NPI number?

The NPI number for Valerie Mccullough is 1225657877. It was assigned to this individual provider in the NPPES registry on April 14, 2020.

Q: What is Valerie Mccullough's specialty?

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

Active since April 14, 2020PECOS EnrolledAccepts Medicare Assignment

200 ABRAHAM FLEXNER WAY, LOUISVILLE, KY 40202(502) 561-7416 Get Directions Write a Review

NPPES record last updated: June 8, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 8, 2022, Jan 21, 2021, Apr 14, 2020 (3 updates tracked since 2020).

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About Valerie Mccullough NPPES

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

VALERIE MCCULLOUGH (NPI 1225657877) is an individual nurse practitioner in Louisville, Kentucky, licensed in Kentucky (3012799) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with University Of Louisville Hospital, and is a graduate of University Of South Alabama College Of Medicine (2018).

NPPES Registry Identity

NPI1225657877

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameVALERIE MCCULLOUGH

Location Address200 ABRAHAM FLEXNER WAYLouisville, KY 40202-2877

Mailing AddressPo Box 909Louisville, KY 40201-0909

Phone(502) 561-7416

Sole ProprietorNo

Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2018

Enumeration DateApril 14, 2020

Last NPPES UpdateJune 8, 20223 updates tracked since enumeration

NPPES CertifiedJune 8, 2022

✔ NPI 1225657877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in KY · 3012799✔ Licensed in IN · 71009958A

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.

200 ABRAHAM FLEXNER WAY, Louisville, KY 40202

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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 from Home State Health, Ambetter Health and more.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

Valerie Mccullough 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 ID5395166102

PECOS Enrollment IDI20220727003223

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 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.

15 services15 patients

Hospital Affiliations CMS Care Compare

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

University Of Louisville Hospital

Acute Care Hospitals · Louisville, KY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180141

Location530 South Jackson StreetLouisville, KY 40202 · Jefferson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 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 20

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

MAR MILBURN

Pharmacist

200 ABRAHAM FLEXNER WAY, ADMINISTRATION
LOUISVILLE, KY 40202

Jefferson County (502) 210-4210

ERIC HO CHUN CHEUNG MD

Internal Medicine