Kaelin Jansen, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3009990 Issued in KY

Practice address

802 Overhill Dr
Business Office
Shepherdsville, KY 40165-7252

Phone

(502) 543-9124

Fax

(502) 543-0844

NPI assigned

Jan 4, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kiosk Medicine Kentucky LLCGroup PAC ID 6002887510, 169 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

72.89 of 100Reported as group

Quality

31.67

Improvement activities

40

Cost

67.4

Merit-based Incentive Payment System (MIPS)

Final score

83.72 of 100Reported as group

Quality

66.02

Promoting interoperability

100

Improvement activities

40

Cost

79.72

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kaelin.jansen@krogerhealth.eclinicaldirectplus.com

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.

• Kiosk Medicine Kentucky LLC

  • Family Nurse Practitioner
  • Louisville, KY
  • NPI 1205885035
  Medicare reassignment Care Compare group NPD
• Kentuckiana Geriatric and Palliative Services PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Louisville, KY
  • NPI 1902036825

  Family

  NPD

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

{
    "created_epoch": "1451865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1003272261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950151",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402950151",
            "telephone_number": "502-543-9124",
            "fax_number": "502-543-0844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 OVERHILL DR",
            "address_2": "BUSINESS OFFICE",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401657252",
            "telephone_number": "502-543-9124",
            "fax_number": "502-543-0844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANSEN",
        "first_name": "KAELIN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-04",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3009990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100408550",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Inspire Physical Therapy
• Iroquois Medical Center,P.S.C.
• Antwoine Jackson
• James T Dodge DO LLC
• James T Dodge, D.O., LLC
• Tiffany Jenkins
• Jewish Hospital & St. Mary'S Healthcare, Inc.
• Jewish Hospital and St. Mary'S Healthcare, Inc.
• Susan G Johns, M.D.
• Jaimie Johnson

• Family Nurse Practitioner in Shepherdsville, KY
• Providers in Shepherdsville, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; 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.