Courtney Brooke Addison, APRN - Medicare Nurse Practitioner in Jackson, KY

Courtney Brooke Addison, APRN is a medicare enrolled "Nurse Practitioner - Family" in Jackson, Kentucky. Her current practice location is 1484 Lakeside Dr, Jackson, Kentucky. You can reach out to her office (for appointments etc.) via phone at (606) 666-9950.

Courtney Brooke Addison is licensed to practice in Kentucky (license number 3014877) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1104420835.

Contact Information

Courtney Brooke Addison, APRN
1484 Lakeside Dr,
Jackson, KY 41339-6555
(606) 666-9950
(606) 666-9136

Map and Direction




Provider's Profile

Full NameCourtney Brooke Addison
GenderFemale
SpecialityNurse Practitioner - Family
Location1484 Lakeside Dr, Jackson, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104420835
  • Provider Enumeration Date: 11/23/2020
  • Last Update Date: 11/04/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7911376892
  • Enrollment ID: I20221215002485

Medical Identifiers

Medical identifiers for Courtney Brooke Addison such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104420835NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 3014877 (Kentucky)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Courtney Brooke Addison allows following entities to bill medicare on her behalf.
Entity NameJuniper Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407818628
PECOS PAC ID: 2961453618
Enrollment ID: O20050214000128

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Courtney Brooke Addison is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Courtney Brooke Addison, APRN
Po Box 690,
Beattyville, KY 41311-0690

Ph: (606) 464-0151
Courtney Brooke Addison, APRN
1484 Lakeside Dr,
Jackson, KY 41339-6555

Ph: (606) 666-9950

Reviews and Comments


Nurse Practitioner Nurses in Jackson, KY

Heather R Banks, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1484 Lakeside Dr, Jackson, KY 41339
Phone: 606-666-9950    Fax: 606-666-9136
Mrs. Edna Elizabeth Williams, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 832 Highway 15 N, Jackson, KY 41339
Phone: 606-666-5142    Fax: 606-666-4172
Brittney Denise Herald, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 540 Jett Dr, Jackson, KY 41339
Phone: 606-666-6000    
Rebecca Mae Holbrook-watkins, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 424 Jett Dr, Jackson, KY 41339
Phone: 606-666-6600    Fax: 606-693-0534
Ms. Beverly Dawn Ellis, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1484 Lakeside Drive, Jackson, KY 41339
Phone: 606-666-9950    Fax: 606-666-9136
Jacqueline Campbell, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1550 Highway 15 S Ste 240, Jackson, KY 41339
Phone: 606-824-5037    Fax: 606-824-5042

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.