COURTNEY BROOKE ADDISON (APRN) – Family Nurse Practitioner, NPI 1104420835
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,718 FAMILY PRACTICE in KY
Provider Addresses for COURTNEY BROOKE ADDISON (APRN)
308 N KY 7
Sandy Hook, KY 41171
Phone: (606) 738-9785
Fax: (859) 317-2148
Type: Location
202 Plummer St
Campton, KY 413019381
Phone: (606) 668-7385
Fax: (606) 668-7009
Type: Location
1219 W Main St
West Liberty, KY 414722161
Phone: (606) 743-4808
Fax: (606) 743-4716
Type: Location
1484 LAKESIDE DR
JACKSON, KY 413396555
Phone: (606) 666-9950
Fax: (606) 666-9136
Type: Location
30 COURTNEY LN
JACKSON, KY 413399483
Phone: (606) 272-6831
Type: Mailing
1025 Grand Avenue
Beattyville, KY 41311
Phone: (606) 464-2401
Fax: (606) 464-3290
Type: Location
PO BOX 690
BEATTYVILLE, KY 413110690
Phone: (606) 464-0151
Fax: (606) 464-0152
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $95.
Total Amount is formed as General ($95) + Research ($0) + Ownership ($0) = $95.
Last reported payment date: 2024-10-22 • Largest payer in this snapshot: ABBVIE INC. ($58).
Total Amount
$95
General + Research + Ownership
Payments
5
Total payment records
General Amount
$95
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $58 |
| Novo Nordisk Inc | $38 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-12-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20221215002485 | I | Family Practice | KY | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 87880 | Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 13 | 12 | $0 |
Insurance plans in this area (ZIP 41171)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KY | |
| - | KY | |
| Clinical Social Worker | KY | |
| Physician Assistant | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| Internal Medicine | KY | |
| Clinical Social Worker | KY | |
| Nurse Practitioner | KY | |
| Family Practice | KY |
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