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KURT WILLIAM KROUSE ARNP
NPI 1689826323
Nurse Practitioner in Lexington, KY

Active since October 14, 2008PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
740 S LIMESTONE ST, LEXINGTON, KY 40536(859) 323-6494(859) 257-8675 Get Directions Write a Review

NPPES record last updated: December 7, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kurt William Krouse Arnp NPPES

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

KURT WILLIAM KROUSE ARNP (NPI 1689826323) is an individual nurse practitioner in Lexington, Kentucky, licensed in Kentucky (5689P) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Richmond, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1689826323
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameKURT WILLIAM KROUSECredential: ARNP
Location Address740 S LIMESTONE STLexington, KY 40536-0001
Mailing Address2333 Alumni Park Plz, Suite 200Lexington, KY 40517-4012 · (859) 218-5677 · Fax (859) 257-7899
Phone(859) 323-6494
Fax(859) 257-8675
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateOctober 14, 2008
Last NPPES UpdateDecember 7, 2020
NPPES CertifiedDecember 7, 2020
✔ NPI 1689826323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in KY · 5689P
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.
740 S LIMESTONE ST, Lexington, KY 40536
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Kurt William Krouse Arnp 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 ID1456411313
PECOS Enrollment IDI20081121000310
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 4

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.
358 services304 patients
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.
36 services32 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
22 services22 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Health Richmond

Acute Care Hospitals · Richmond, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180049
Location801 Eastern BypassRichmond, KY 40475 · Madison County
Emergency services Birthing friendly

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180103
Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
10 suppliers28 claims28 services$35.47 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
11 suppliers21 claims21 services$95.74 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
10 suppliers20 claims55 services$35.73 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
9 suppliers13 claims70 services$22.88 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
9 suppliers20 claims20 services$58.57 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
14 suppliers26 claims26 services$19.89 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

KATHLEEN M. EBBITT APRN
Nurse Practitioner (Family)
740 S LIMESTONE ST
LEXINGTON, KY 40536
Fayette County (859) 218-1632
MEGHA DESAI MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
740 S LIMESTONE ST, ENDOCRINE CLINIC, 2ND FLOOR, WING C
LEXINGTON, KY 40536
Fayette County (859) 323-2232
ABBY B. MATTINGLY AU.D.
Audiologist
740 S LIMESTONE ST, SUITE B317
LEXINGTON, KY 40536
Fayette County (859) 257-3390
MS. ELLEN E RATCLIFFE DNP
Nurse Practitioner (Acute Care)
740 S LIMESTONE ST
LEXINGTON, KY 40536
Fayette County (859) 323-5045
ANDREA MARGARET GORRINGE PAC
Physician Assistant (Medical)
740 S LIMESTONE ST
LEXINGTON, KY 40536
Fayette County (859) 323-0079
DR. SALLY VALENTINA MATHIAS MD
Psychiatry & Neurology (Neurology)
740 S LIMESTONE ST, J401
LEXINGTON, KY 40536
Fayette County (859) 323-5661
LOUIS IRVING BEZOLD III MD
Pediatrics (Pediatric Cardiology)
740 S LIMESTONE ST
LEXINGTON, KY 40536
Fayette County (859) 323-1432
LYNN ANN KELSO ARNP
Nurse Practitioner (Acute Care)
740 S LIMESTONE ST
LEXINGTON, KY 40536
Fayette County (859) 257-3253

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 Kurt Krouse's NPI number?

The NPI number for Kurt Krouse is 1689826323. It was assigned to this individual provider in the NPPES registry on October 14, 2008.

Where is Kurt Krouse located?

Kurt Krouse practices at 740 S Limestone St, Lexington, KY 40536. The listed phone number is (859) 323-6494.

What is Kurt Krouse's specialty?

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

Is Kurt Krouse enrolled in Medicare?

Yes. Kurt Krouse is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kurt Krouse accept?

Health plans from CareSource list Kurt Krouse as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kurt Krouse affiliated with any hospitals?

According to CMS data, Kurt Krouse is affiliated with Baptist Health Richmond and Baptist Health Lexington.

When was this NPI record last updated?

The NPPES record for Kurt Krouse was last updated on December 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.