Kimberly Fauke Kakooza, APRN
NPI 1891268991ActiveIndividual· Nurse Practitioner· Flagstaff, AZ
Nurse Practitioner (APRN) with Endeavor Health Medical Group and 3 other groups, practicing in Flagstaff, Arizona. 58 Medicare patients in 2024, $5,860 paid; nearly all of their 188 Part D prescriptions were generic (93%). Lists Edward Hospital as a hospital affiliation.
Overview
| NPI | 1891268991 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN |
| Sole proprietor | Yes |
| NPI issued | Jan 10, 2019 |
| Last updated in NPPES | Jun 3, 2026 |
| Certified by provider | Jun 3, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 337491 | AZ |
| Nurse Practitioner | 363L00000X | 277002831 | IL |
| Nurse Practitioner | 363L00000X | 209.018538 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (AZ); Practitioner - Nurse Practitioner (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 58 |
|---|---|
| Services billed | 139 across 23 procedure codes |
| Paid by Medicare | $5,860 |
Part D prescriptions in 2024
| Prescriptions (claims) | 188 · 199 30-day fills |
|---|---|
| Patients | 94 |
| Total drug cost | $2,065 |
| Generic share | 93% of claims |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Endeavor Health Medical GroupEvanston, IL · 3,350 clinicians
- Nextcare Arizona I Jv LLCTempe, AZ · 287 clinicians
- Midwest Express Care 2, IncWillowbrook, IL · 222 clinicians
- Edward HospitalBolingbrook, IL · 96 clinicians
Hospital affiliation
- Edward HospitalNaperville, IL
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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