Jonathan Ike Northcutt

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

4051921 Issued in KY

Practice address

6909 Burlington Pike Ste B
Florence, KY 41042-1618

Phone

(859) 912-7716

NPI assigned

Jan 7, 2026

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kidney Associates of the TristateGroup PAC ID 3072946656, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kidney Associates of the Tristate

  • Nephrology Physician
  • Florence, KY
  • NPI 1831730183
  Medicare reassignment Care Compare group NPD
• Elbita Health Services LLC

  • Specialist
  • Lexington, KY
  • NPI 1235997867
  NPD
• Tristate Renal Care LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Florence, KY
  • NPI 1790382513
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1767744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768780800000",
    "number": "1154288595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6909 BURLINGTON PIKE STE B",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410421618",
            "telephone_number": "859-912-7716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6909 BURLINGTON PIKE STE B",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410421618",
            "telephone_number": "859-912-7716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORTHCUTT",
        "first_name": "JONATHAN",
        "middle_name": "IKE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-01-07",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "KY",
            "license": "4051921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nky Wellness Clinic LLC (Savy Health)
• Jessica Noel
• Daniel Alan Noll, D.M.D., M.S.D.
• Brittany Nordhoff, M.ED., BCBA
• Mary C. Nordloh, L.P.C.C.
• Northern Kentucky Behavioral Health
• Northern Kentucky Center for Pain Relief, LLC
• Northern Kentucky Childrens Advocacy Center
• Northern Kentucky Consumer Directed Option Program
• Northern Kentucky Consumer Directed Option Program

• Acute Care Nurse Practitioner in Florence, KY
• Providers in Florence, KY by specialty
• Acute Care Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.