Kimberly Fauke Kakooza, APRN - Medicare Nurse Practitioner in Flagstaff, AZ

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Kimberly Fauke Kakooza, APRN is a medicare enrolled "Nurse Practitioner" in Flagstaff, Arizona. She graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Endeavor Health Medical Group, Midwest Express Care 2, Inc, Edward Hospital and her current practice location is 1000 N Humphreys St Ste 104, Flagstaff, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 779-3844.

Kimberly Fauke Kakooza is licensed to practice in Arizona (license number 337491) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1891268991.

Contact Information

Kimberly Fauke Kakooza, APRN
1000 N Humphreys St Ste 104,
Flagstaff, AZ 86001-3124
(928) 779-3844
Not Available

Map and Direction




Provider's Profile

Full NameKimberly Fauke Kakooza
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location1000 N Humphreys St Ste 104, Flagstaff, Arizona
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kimberly Fauke Kakooza graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1891268991
  • Provider Enumeration Date: 01/10/2019
  • Last Update Date: 06/03/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 8325389729
  • Enrollment ID: I20190412000278

Medical Identifiers

Medical identifiers for Kimberly Fauke Kakooza such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891268991NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 277002831 (Illinois)Secondary
363L00000XNurse Practitioner 209.018538 (Illinois)Secondary
363L00000XNurse Practitioner 337491 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Edward HospitalNaperville, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Endeavor Health Medical Group21633346993372
Midwest Express Care 2, Inc0547495467217
Edward Hospital004210811099

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. Kimberly Fauke Kakooza allows following entities to bill medicare on her behalf.
Entity NamePhysicians Immediate Care Ltd.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528046323
PECOS PAC ID: 4486568813
Enrollment ID: O20031118001089
Entity NamePhysicians Immediate Care North Chicago Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205814118
PECOS PAC ID: 8729064159
Enrollment ID: O20040626000381
Entity NameMidwest Express Care 2 Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548692890
PECOS PAC ID: 0547495467
Enrollment ID: O20131031001375
Entity NameNew Rose Healthcare Management Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043816515
PECOS PAC ID: 4981010048
Enrollment ID: O20210316000179

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. Kimberly Fauke Kakooza 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
Kimberly Fauke Kakooza, APRN
2650 Ridge Ave Ste 1223,
Evanston, IL 60201-1700

Ph: (847) 570-2040		Kimberly Fauke Kakooza, APRN
1000 N Humphreys St Ste 104,
Flagstaff, AZ 86001-3124

Ph: (928) 779-3844

Reviews and Comments


Nurse Practitioner Nurses in Flagstaff, AZ

Dr. Sarah Lynn Salce, DNP
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Practice Location: 2000 S Thompson St, Flagstaff, AZ 86001
Phone: 928-226-6400    Fax: 928-226-6401
Ashleigh Cseh,
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Medicare: Accepting Medicare Assignments
Practice Location: 9350 N Lunar Dr, Flagstaff, AZ 86004
Phone: 770-315-1167    
Wyatt D Woodard, MSN, FNP
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Medicare: Accepting Medicare Assignments
Practice Location: 320 N Leroux St, Ste B, Flagstaff, AZ 86001
Phone: 928-779-0361    Fax: 928-779-7143
Mr. Richard R Valdes, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2700 S Woodlands Vlg Blvd Ste 700, Flagstaff, AZ 86001
Phone: 928-440-5406    Fax: 928-440-5407
Mrs. Susan W Flores, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 350 N Switzer Canyon Dr, Flagstaff, AZ 86001
Phone: 928-779-0500    
Ms. Sherry Ann Mace, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 77 W Forest Ave, Suite 301, Flagstaff, AZ 86001
Phone: 928-773-2538    
Ms. Julie Marie Polzin, RN, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 107 E Oak Ave, Suite 201, Flagstaff, AZ 86001
Phone: 928-913-8800    Fax: 928-913-8801

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.