MARY LOU BRAUN APRN
NPI 1881911758
Nurse Practitioner in Newport, KY

Active since April 30, 2010PECOS EnrolledAccepts Medicare Assignment
12 E 5TH ST, NEWPORT, KY 41071(859) 578-3200(859) 534-2627 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 16, 2021, Apr 25, 2019, Apr 11, 2019 and 1 more (4 updates tracked since 2018).

About Mary Lou Braun Aprn NPPES

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

MARY LOU BRAUN APRN (NPI 1881911758) is an individual nurse practitioner in Newport, Kentucky, licensed in Kentucky (3006427) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS, is affiliated with St Elizabeth Edgewood, and maintains a secondary practice location in Erlanger.

NPPES Registry Identity

NPI1881911758
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMARY LOU BRAUNCredential: APRN
Location Address12 E 5TH STNewport, KY 41071-1618
Mailing Address12 E 5th StNewport, KY 41071-1618 · (859) 491-6510 · Fax (877) 331-3292
Fax(859) 534-2627
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateApril 30, 2010
Last NPPES UpdateApril 28, 20254 updates tracked since enumeration
NPPES CertifiedApril 28, 2025
NPI 1881911758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in KY · 3006427
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.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 3006427 (KY)
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 3006427 (KY)
12 E 5TH ST, Newport, KY 41071

Secondary Practice Location 1

Location 1820 Dolwick DriveErlanger, KY 41018-2774 · Phone (859) 301-5901 · Fax (859) 301-5940

Other Identifiers 1

Medicaid7100119230KY

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

Mary Lou Braun Aprn 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 ID8628107877
PECOS Enrollment IDI20100526000284
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 2

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.
82 services28 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.
75 services24 patients

Hospital Affiliations CMS Care Compare

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

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180035
Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41071 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 17

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

Marriage & Family Therapist
12 E 5TH ST
NEWPORT, KY 41071
Registered Nurse (Psychiatric/Mental Health, Adult)
12 E 5TH ST
NEWPORT, KY 41071
Marriage & Family Therapist
12 E 5TH ST
NEWPORT, KY 41071
Psychologist (Clinical)
12 E 5TH ST
NEWPORT, KY 41071
Counselor (Mental Health)
12 E 5TH ST
NEWPORT, KY 41071
Social Worker (Clinical)
12 E 5TH ST
NEWPORT, KY 41071
Counselor (Professional)
12 E 5TH ST
NEWPORT, KY 41071
Counselor (Professional)
12 E 5TH ST
NEWPORT, KY 41071

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 Mary Lou Braun's NPI number?

The NPI number for Mary Lou Braun is 1881911758. It was assigned to this individual provider in the NPPES registry on April 30, 2010.

Where is Mary Lou Braun located?

Mary Lou Braun practices at 12 E 5th St, Newport, KY 41071. The listed phone number is (859) 578-3200.

What is Mary Lou Braun's specialty?

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

Is Mary Lou Braun enrolled in Medicare?

Yes. Mary Lou Braun 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.

Is Mary Lou Braun affiliated with any hospitals?

According to CMS data, Mary Lou Braun is affiliated with St Elizabeth Edgewood.

When was this NPI record last updated?

The NPPES record for Mary Lou Braun was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.