Individual provider Active NPI

Jessica Abney Pennington, MD

  • Family Medicine Physician
  • Berea, KY
National Provider Identifier
1003861162
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
37778 Issued in KY
Practice address
2750 Battlefield Memorial Hwy
Berea, KY 40403-8332
Phone
(859) 986-0302
Fax
(859) 986-0315
NPI assigned
May 24, 2006
Last updated
Mar 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 37778 KY Primary

Addresses

Primary practice location

2750 Battlefield Memorial Hwy
Berea, KY 40403-8332

Mailing address

PO Box 936
London, KY 40743-0936

Other identifiers 2

IdentifierTypeStateIssuer
K014642OtherKYMEDICARE
64055908MedicaidKY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100330000540 KY Practitioner - Family Practice 7810998838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Louisville School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
H2 Rehabilitation Services of Kentucky, LLCGroup PAC ID 5799682688, shared by 7 NPIs, 187 clinicians

Practice addresses (Care Compare)

1401 Harrodsburg Rd
Suite A300
Lexington, KY 40504-3787
Phone (859) 276-4429

193 Glades Rd
Berea, KY 40403-2261
Phone (859) 956-1055

2750 Battlefield Memorial Hwy
Berea, KY 40403-8332
Phone (859) 968-0302

305 Estill St
Berea, KY 40403-1742
Phone (859) 986-8418

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
37778KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kentuckyone Health Medical Group, Inc. Family Medicine CurrentSince Jan 1, 2014 Accepting new patients
Kentuckyone Health Medical Group, Inc. Family Medicine CurrentSince Jan 1, 2014 Accepting new patients
Neurosurgical Associates PSC Current Accepting new patients
Bluegrass Internal Medicine and Nephrology Past Accepting new patients
Marshall Emergency Services Associates, PLLC Past Accepting new patients

Locations

2750 Battlefield Memorial Hwy
Berea, KY 40403
Phone (859) 968-0302

305 Estill St
Berea, KY 40403
Phone (859) 986-1415

1401 Harrodsburg Rd
Ste A300
Lexington, KY 40504
Phone (859) 313-4744

1401 Harrodsburg Rd
Ste B370
Lexington, KY 40504
Phone (859) 313-3319

793 Eastern Byp
Ste 213
Richmond, KY 40475
Phone (859) 624-6501

200 Rice St
Wilmore, KY 40390
Phone (859) 858-9355

Networks

  • KY PPO
  • TN PPO C-SNP
  • KY PPO C-SNP
  • devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
  • OH PPO
  • TN PPO

Interoperability endpoints

  • Direct secure messaging: jessicapennington@kysjhspe.allscriptsdirect.net
  • Direct secure messaging: jpennington274804@direct.stlukeshealth.org

Organizations & group practices 5

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1003861162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407430936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 BATTLEFIELD MEMORIAL HWY",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404038332",
            "telephone_number": "859-986-0302",
            "fax_number": "859-986-0315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNINGTON",
        "first_name": "JESSICA",
        "middle_name": "ABNEY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "37778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "K014642",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64055908",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berea, KY

Sources for this page

Verify at the official NPI Registry.