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KATHLEEN B COOK APRN
NPI 1902503444
Nurse Practitioner - Family in Covington, KY

Active since February 15, 2023PECOS EnrolledAccepts Medicare Assignment
1401 MADISON AVE, COVINGTON, KY 41011(859) 655-6100(859) 655-6179 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 22, 2024, Feb 15, 2023 (2 updates tracked since 2023).

About Kathleen B Cook Aprn NPPES

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

KATHLEEN B COOK APRN (NPI 1902503444) is an individual family provider in Covington, Kentucky, licensed in Kentucky (3018901) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS, is affiliated with St Elizabeth Edgewood, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1902503444
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHLEEN B COOKCredential: APRN
Location Address1401 MADISON AVECovington, KY 41011-3313
Mailing Address215 E 11th StNewport, KY 41071-2203 · (859) 655-6100
Phone(859) 655-6100
Fax(859) 655-6179
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 15, 2023
Last NPPES UpdateOctober 30, 20242 updates tracked since enumeration
NPPES CertifiedOctober 30, 2024
✔ NPI 1902503444 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 · 3018901
1401 MADISON AVE, Covington, KY 41011
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kathleen B Cook 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 ID1052785284
PECOS Enrollment IDI20230329002525, I20230330001448
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Kathleen Cook reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Healthpoint Family Care Inc
1.4 mi
Federally Qualified Health Center (FQHC)
215 E 11TH ST
Newport, KY 41071
  • Reassigned Medicare billing, Kentucky and Ohio enrollments
  • Also billed through NPI 1730863218 (Ohio)
  • 69 clinicians in this Medicare group
NPI 1508889742 (859) 655-6100
Cg Medical Associates Inc
8.2 mi
Urgent Care
7300 BEECHMONT AVE
Cincinnati, OH 45230
  • Reassigned Medicare billing, Ohio enrollment
  • 329 clinicians in this Medicare group
NPI 1982903951 (513) 232-9100
The Little Clinic Of Ohio LLC
11 mi
Family
7132 HAMILTON AVE
Cincinnati, OH 45231
  • Reassigned Medicare billing, Ohio enrollment
  • 537 clinicians in this Medicare group
NPI 1982761896 (513) 728-2780
Kiosk Medicine Kentucky LLC
85 mi
Family
3039 BRECKENRIDGE LN
Louisville, KY 40220
  • Reassigned Medicare billing, Kentucky enrollment
  • 488 clinicians in this Medicare group
NPI 1205885035 (502) 451-4555

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.
24 services24 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.
12 services12 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 41011 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.

MS. VIRGINIA BROOKE FAULKNER DMD
Dentist
1401 MADISON AVE
COVINGTON, KY 41011
Kenton County (859) 655-6100
KYLA RENEE RIDDELL APRN
Nurse Practitioner (Family)
1401 MADISON AVE
COVINGTON, KY 41011
Kenton County (859) 655-6100
DAVID W BROUNLEY MD
Ophthalmology
1401 MADISON AVE
COVINGTON, KY 41011
Kenton County (859) 655-6100
BETH ANN MYERS MD
Obstetrics & Gynecology
1401 MADISON AVE
COVINGTON, KY 41011
Kenton County (859) 655-6100
JULIE B WOLF APRN
Nurse Practitioner (Family)
1401 MADISON AVE
COVINGTON, KY 41011
Kenton County (859) 655-6100
AMITAVA MICHAEL DASGUPTA MD
Family Medicine
1401 MADISON AVE
COVINGTON, KY 41011
Kenton County (859) 655-6100
STEPHANIE ANN ZANARDELLI APRN, FNP-BC
Nurse Practitioner (Family)
1401 MADISON AVE
COVINGTON, KY 41011
Kenton County (859) 655-6100
PATRICIA G BROUGHTON ARNP, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1401 MADISON AVE
COVINGTON, KY 41011
Kenton County (859) 655-6100

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 Kathleen Cook's NPI number?

The NPI number for Kathleen Cook is 1902503444. It was assigned to this individual provider in the NPPES registry on February 15, 2023.

Where is Kathleen Cook located?

Kathleen Cook practices at 1401 Madison Ave, Covington, KY 41011. The listed phone number is (859) 655-6100.

What is Kathleen Cook's specialty?

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

Is Kathleen Cook enrolled in Medicare?

Yes. Kathleen Cook 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.

Which organizations bill Medicare for Kathleen Cook's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Cook reassigns Medicare benefits to 4 organizations: Healthpoint Family Care Inc (Newport, KY), Cg Medical Associates Inc (Cincinnati, OH), The Little Clinic Of Ohio LLC (Cincinnati, OH) and Kiosk Medicine Kentucky LLC (Louisville, KY). Each 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 Kathleen Cook's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathleen Cook accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Kathleen Cook 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 Kathleen Cook affiliated with any hospitals?

According to CMS data, Kathleen Cook is affiliated with St Elizabeth Edgewood.

When was this NPI record last updated?

The NPPES record for Kathleen Cook was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.