SOOKSAI KAEWBUA (DNP, APRN, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1366962599

SOOKSAI KAEWBUA (DNP, APRN, PMHNP-BC) is a healthcare provider. based in Mount sterling, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP, APRN, PMHNP-BC. They hold a License No. 3011504 (KY). The NPI Number for SOOKSAI KAEWBUA (DNP, APRN, PMHNP-BC) is 1366962599

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
SOOKSAI KAEWBUA (DNP, APRN, PMHNP-BC)
NPI
1366962599
Phone
(859) 404-7686
Address
209 N Maysville St Ste 200
Enumeration Date
20 June 2017
Last Update Date
22 October 2025

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Secondary Phone
8597442623
Graduation Year
2017 (9 years ago)
PAC ID
7315208162
Group Practice PAC ID
9436301686
Professional Enrollment ID
I20180219002181
Address ID
KY403912933WI455XXBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:8State licenses:1Digital endpointsOther names

7,347 NURSE PRACTITIONER in KY

Provider Addresses for SOOKSAI KAEWBUA (DNP, APRN, PMHNP-BC)

  • 209 N Maysville St Ste 200

    Mount Sterling, KY 40353

    Phone: (859) 404-7686

    Fax: (859) 498-8160

    Type: Location

  • 157 N Limestone Ste 260

    Lexington, KY 405071664

    Phone: (502) 395-3397

    Fax: (502) 526-5749

    Type: Location

  • 209 N MAYSVILLE ST STE 200

    MOUNT STERLING, KY 403531179

    Phone: (859) 404-7686

    Fax: (859) 498-8160

    Type: Mailing

  • 236 W MAIN ST

    MOUNT STERLING, KY 403531348

    Phone: (859) 404-7686

    Fax: (859) 498-8160

    Type: Mailing

  • 633 MAYSVILLE RD

    MOUNT STERLING, KY 403539767

    Phone: (859) 404-7686

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 56 Open Payments records for all available years, with a total value of $1,732.

Total Amount is formed as General ($1,732) + Research ($0) + Ownership ($0) = $1,732.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($373).

Total Amount

$1,732

General + Research + Ownership

Payments

56

Total payment records

General Amount

$1,732

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2018-02-19

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180219002181INurse PractitionerKYTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 40353)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436301686View full group profile
NameSpecialtyState
Nurse PractitionerKY
O B S T E T R I C S/ G Y N E C O L O G YKY
O B S T E T R I C S/ G Y N E C O L O G YKY
-WV
Family PracticeKY
Physician AssistantKY
-KY
Clinical Social WorkerKY
Internal Medicine, Pediatric MedicineKY
Nurse PractitionerKY

Reviews

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Frequently asked questions

What unique ID ties claims to SOOKSAI KAEWBUA (DNP, APRN, PMHNP-BC)?
NPI 1366962599 is assigned to SOOKSAI KAEWBUA (DNP, APRN, PMHNP-BC) under the national enumeration system.
Is SOOKSAI KAEWBUA (DNP, APRN, PMHNP-BC) active in the national directory?
SOOKSAI KAEWBUA (DNP, APRN, PMHNP-BC)'s public NPI profile is in an active state.
Does SOOKSAI KAEWBUA (DNP, APRN, PMHNP-BC) list a primary specialty?
If you are matching referrals, note Psychiatric/Mental Health Nurse Practitioner for SOOKSAI KAEWBUA (DNP, APRN, PMHNP-BC). Clinical services aligned with this taxonomy classification.
What location metadata exists for SOOKSAI KAEWBUA (DNP, APRN, PMHNP-BC)?
The page summarizes Mount Sterling, Kentucky for SOOKSAI KAEWBUA (DNP, APRN, PMHNP-BC); expand the address list for detail.
How can I contact SOOKSAI KAEWBUA (DNP, APRN, PMHNP-BC)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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