ADAM NICHOLAS PEDDICORD APRN
NPI 1629433024
Nurse Practitioner - Family in Elsmere, KY

Q: What is Adam Peddicord's NPI number?

The NPI number for Adam Peddicord is 1629433024. It was assigned to this individual provider in the NPPES registry on December 30, 2015.

Q: What is Adam Peddicord's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Adam Peddicord was last updated on December 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since December 30, 2015PECOS Enrolled

4135 DIXIE HWY, ELSMERE, KY 41018(513) 834-7063 Get Directions Write a Review

NPPES record last updated: December 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 22, 2021, Feb 3, 2016, Dec 30, 2015 (3 updates tracked since 2015).

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About Adam Nicholas Peddicord Aprn NPPES

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

ADAM NICHOLAS PEDDICORD APRN (NPI 1629433024) is an individual family provider in Elsmere, Kentucky, licensed in Kentucky (3009900) and active in the NPI registry since December 2015. He is enrolled in Medicare PECOS and maintains a secondary practice location in Edgewood.

NPPES Registry Identity

NPI1629433024

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameADAM NICHOLAS PEDDICORDCredential: APRN

Location Address4135 DIXIE HWYElsmere, KY 41018-1815

Mailing Address615 Elsinore Pl Ste 200Cincinnati, OH 45202-1457 · (513) 834-7063

Phone(513) 834-7063

Sole ProprietorYes

Enumeration DateDecember 30, 2015

Last NPPES UpdateDecember 22, 20213 updates tracked since enumeration

NPPES CertifiedDecember 22, 2021

✔ NPI 1629433024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in KY · 3009900

4135 DIXIE HWY, Elsmere, KY 41018

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Secondary Practice Location 1

Location 1560 S Loop RdEdgewood, KY 41017-3405 · Phone (859) 301-2663 · Fax (859) 301-0655

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adam Nicholas Peddicord Aprn 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 41018 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.

MISS DARA MICHELLE CONCEPCION-PERRY LCSW

Social Worker (Clinical)