Individual provider Active NPI

Jacob William Harvey Jr., APRN-FNP

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1003122201
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3006597 Issued in KY
Practice address
516 W Breckinridge St
Louisville, KY 40203-2128
Phone
(502) 648-7909
NPI assigned
Aug 25, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3006597 KY Primary
Family Nurse Practitioner 363LF0000X 6597 KY

Addresses

Primary practice location

516 W Breckinridge St
Louisville, KY 40203-2128

Mailing address

516 W Breckinridge St
Louisville, KY 40203-2128
Phone (502) 377-1406

Other identifiers 1

IdentifierTypeStateIssuer
7100136720MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://app.drchrono.com/accounts/login/ Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20101123000770 KY Practitioner - Nurse Practitioner 6002002508 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

2400 Eastpoint Pkwy
Suite 100
Louisville, KY 40223-4154
Phone (502) 210-4800

516 W Breckinridge St
Louisville, KY 40203-2128
Phone (502) 648-7909

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3006597KYMDFamily Nurse Practitioner
6597KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. CurrentSince Jun 5, 2011 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Mar 4, 2026 Accepting new patients
Community Care Health Network LLC CurrentSince Feb 1, 2026 Accepting new patients
Community Medical Associates, Inc. CurrentSince Jun 5, 2011 Accepting new patients
Community Medical Associates, Inc. Family Current Accepting new patients
Baptist Health Medical Group Inc CurrentSince Mar 4, 2026 Accepting new patients
Bell Tower Recovery Services LLC CurrentSince Dec 27, 2024 Accepting new patients

Locations

4420 Dixie Hwy
Ste 112
Louisville, KY 40216
Phone (502) 365-2655

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

7926 Preston Hwy
Ste 106
Louisville, KY 40219
Phone (502) 964-4357

2400 Eastpoint Pkwy
Ste 100
Louisville, KY 40223
Phone (502) 210-4700

648 University Shopping Ctr
Richmond, KY 40475
Phone (859) 623-1950

Interoperability endpoints

  • Direct secure messaging: jharvey11840@direct.nortonhealthcare.org

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1282694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1003122201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 W BRECKINRIDGE ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402032128",
            "telephone_number": "502-377-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 W BRECKINRIDGE ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402032128",
            "telephone_number": "502-648-7909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARVEY",
        "first_name": "JACOB",
        "middle_name": "WILLIAM",
        "name_suffix": "Jr.",
        "credential": "APRN-FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-25",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3006597",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "6597",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100136720",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://app.drchrono.com/accounts/login/",
            "affiliation": "N",
            "endpointDescription": "DrChrono EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EHR",
            "address_1": "516 W Breckinridge St",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402032128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.