ADAM NICHOLAS PEDDICORD APRN
NPI 1629433024
Nurse Practitioner - Family in Elsmere, KY
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
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Adam Nicholas Peddicord Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Adam Peddicord reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cincinnati, OH 45206
- Reassigned Medicare billing, Kentucky enrollment
- 109 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
ELSMERE, KY 41018
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 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.
Where is Adam Peddicord located?
Adam Peddicord practices at 4135 Dixie Hwy, Elsmere, KY 41018. The listed phone number is (513) 834-7063.
What is Adam Peddicord's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Adam Peddicord enrolled in Medicare?
Yes. Adam Peddicord is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Adam Peddicord's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Adam Peddicord reassigns Medicare benefits to Brightview, LLC (Cincinnati, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Adam Peddicord's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Adam Nicholas Peddicord, APRN · NPI 1629433024
Family physician in Elsmere, Kentucky. Individual provider, active in the CMS NPPES registry since December 30, 2015.
## Identity
- **NPI:** 1629433024 (Entity type: Individual)
- **Enumerated:** December 30, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 3009900 (Kentucky)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4135 DIXIE HWY, Elsmere, KY 41018-1815
- **Phone:** (513) 834-7063
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Brightview, LLC (NPI 1659769446, Cincinnati, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 22, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1629433024) · Data from the CMS NPPES public registry.