MRS. NICOLE KOUGH
NPI 1841681863
Counselor - Professional in Vandalia, IL
About Mrs. Nicole Kough NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. NICOLE KOUGH (NPI 1841681863) is an individual professional provider in Vandalia, Illinois, licensed in Illinois (180.010758) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Nicole Kough is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Nicole Kough reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Miami, FL 33130
- Reassigned Medicare billing, Illinois enrollment
- 581 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.
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.
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 Nicole Kough's NPI number?
The NPI number for Nicole Kough is 1841681863. It was assigned to this individual provider in the NPPES registry on February 12, 2015. The provider is also known as Nicole Edmonds.
Where is Nicole Kough located?
Nicole Kough practices at 1121 N 6th St, Vandalia, IL 62471. The listed phone number is (618) 283-2222.
What is Nicole Kough's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Nicole Kough enrolled in Medicare?
Yes. Nicole Kough is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Nicole Kough's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Kough reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). 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 Nicole Kough'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 Nicole Kough was last updated on September 9, 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.
# Mrs. Nicole Kough · NPI 1841681863
Professional provider in Vandalia, Illinois. Individual provider, active in the CMS NPPES registry since February 12, 2015.
## Identity
- **NPI:** 1841681863 (Entity type: Individual)
- **Enumerated:** February 12, 2015
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 180.010758 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1121 N 6TH ST, Vandalia, IL 62471-1219
- **Phone:** (618) 283-2222 · **Fax:** (844) 270-4161
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Grow Healthcare Group PA (NPI 1245845932, Miami, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 9, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1841681863) · Data from the CMS NPPES public registry.