LOU CLARA COULON
NPI 1912873167
Nurse Practitioner - Family in Providence, KY

Q: What is Lou Coulon's NPI number?

The NPI number for Lou Coulon is 1912873167. It was assigned to this individual provider in the NPPES registry on October 15, 2025.

Q: What is Lou Coulon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lou Coulon was last updated on December 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since October 15, 2025PECOS EnrolledAccepts Medicare Assignment

215 E MAIN ST, PROVIDENCE, KY 42450(270) 667-7017(270) 667-9065 Get Directions Write a Review

NPPES record last updated: December 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Lou Clara Coulon NPPES

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

LOU CLARA COULON (NPI 1912873167) is an individual family provider in Providence, Kentucky, licensed in Kentucky (4049020) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1912873167

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLOU CLARA COULON

Location Address215 E MAIN STProvidence, KY 42450-1261

Mailing Address215 E Main StProvidence, KY 42450-1261 · (270) 667-7017 · Fax (270) 667-9065

Phone(270) 667-7017

Fax(270) 667-9065

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateOctober 15, 2025

Last NPPES UpdateDecember 18, 2025

NPPES CertifiedDecember 18, 2025

✔ NPI 1912873167 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 · 4049020

215 E MAIN ST, Providence, KY 42450

Open in Google Maps ↗

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

Lou Clara Coulon 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 ID4688152788

PECOS Enrollment IDI20260130000695

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42450 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.

MRS. KIMBERLY ANN JACKSON ARNP

Nurse Practitioner (Women's Health)