Jeanie Nicole Doom, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3009544 Issued in KY

Practice address

627 W Fairview Ave
Eddyville, KY 42038-7386

Phone

(270) 388-5454

Fax

(270) 388-5452

NPI assigned

Jul 28, 2015

Last updated

Aug 26, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Caldwell Medical Center Hospital, Princeton, KY, CCN 181322
• Baptist Health Paducah Hospital, Paducah, KY, CCN 180104

Merit-based Incentive Payment System (MIPS)

Final score

94.29 of 100Reported as apm

Quality

87.32

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/caldmed-13a63444
• FHIR API: https://fhir4.healow.com/fhir/r4/GIDFCD

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.

• Baptist Health Medical Group Inc

  dba Dawson Springs Rural Health Clinic

  • Rural Health Clinic/Center
  • Dawson Springs, KY
  • NPI 1982178216
  Medicare reassignment Care Compare group
• Pennyroyal Healthcare Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hopkinsville, KY
  • NPI 1124319942
  Medicare reassignment NPD
• Baptist Health Medical Group Inc

  • Rural Health Clinic/Center
  • Georgetown, KY
  • NPI 1972158475
  NPD
• Pennyroyal Healthcare Services, Inc

  dba Community Dental

  • Federally Qualified Health Center (FQHC)
  • Hopkinsville, KY
  • NPI 1104532332
  NPD
• Pennyroyal Healthcare Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Oak Grove, KY
  • NPI 1720454507
  NPD
• Livingston Hospital and Healthcare Services, Inc.

  dba Eddyville Family Medical

  • Rural Health Clinic/Center
  • Eddyville, KY
  • NPI 1386859908

  Family

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Healthcare System, Inc

  • General Acute Care Hospital
  • Paducah, KY
  • NPI 1730264128
  Care Compare affiliation
• Caldwell County Hospital, Inc

  • Occupational Medicine Physician
  • Princeton, KY
  • NPI 1780688333

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1003291360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 CAMPUS PL",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402992308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 W FAIRVIEW AVE",
            "city": "EDDYVILLE",
            "state": "KY",
            "postal_code": "420387386",
            "telephone_number": "270-388-5454",
            "fax_number": "270-388-5452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOOM",
        "first_name": "JEANIE",
        "middle_name": "NICOLE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-28",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3009544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "3009544",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caldwell County Hospital, Inc (Lyon County Clinic)
• Caldwell County Hospital, Inc. (Caldwell Medical Associates)
• Ashley Phelps Cavanah, PT
• Mary G Couillard, ARNP
• David W French MD PSC
• Eddyville Family Medical
• Lindsey Edwards, FNP-C
• Olivia Estes, CSW
• David Wayne French, M.D.
• Mary A Gebhardt, DDS

• Family Nurse Practitioner in Eddyville, KY
• Providers in Eddyville, 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 Aug 26, 2024; 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.