Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jonathan Ike Northcutt

Individual provider Acute Care Nurse Practitioner · NPI 1154288595

Jonathan Ike Northcutt is a Nurse Practitioner in Florence, Kentucky. Qualified in 2020, 6 years ago. Practices with Kidney Associates of the Tristate, a 3-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
6
Licensed in
KY
In the registry since
2026

Practice location Address checks out

6909 Burlington Pike Ste B
Florence, KY 41042-1618
Phone: (859) 912-7716
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 4051921 (KY)

Record details

NPI number1154288595
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 7, 2026
Last updated in NPPESJanuary 19, 2026
Certification dateJanuary 19, 2026
Mailing address6909 Burlington Pike Ste B, Florence, KY 41042-1618

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Kidney Associates Of The Tristate — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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