Individual provider Active NPI

Jennifer Kaye Wilkerson, APRN

  • Nurse Practitioner
  • Mayfield, KY
National Provider Identifier
1013231786
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3006410 Issued in KY
Practice address
1019 Paducah Rd Ste B
Mayfield, KY 42066-3616
Phone
(270) 804-7408
Fax
(866) 985-7514
NPI assigned
Mar 24, 2010
Last updated
Jul 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3006410 GRP KY
Nurse Practitioner 363L00000X 6410P KY
Nurse Practitioner 363L00000X 3006410 KY Primary
Family Nurse Practitioner 363LF0000X 3006410 KY

Addresses

Primary practice location

1019 Paducah Rd Ste B
Mayfield, KY 42066-3616

Mailing address

1019 Paducah Rd Ste B
Mayfield, KY 42066-3616
Phone (270) 804-7408

Other identifiers 3

IdentifierTypeStateIssuer
7100113990MedicaidKY
618423OtherKYWELLCARE
3006410OtherKYNEW APRN # 01-10-11

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
I20100602000943 KY Practitioner - Nurse Practitioner 9032248927 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stone Family Practice PLLCGroup PAC ID 2365685062, 3 clinicians

Practice addresses (Care Compare)

1019 Paducah Rd
Mayfield, KY 42066-3616
Phone (270) 804-7408

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.4 of 100Reported as group
Quality
98.8
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3006410 GRPKYMDNurse Practitioner
6410PKYMDNurse Practitioner
3006410KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Emergency Physicians LLC Nurse Practitioner CurrentSince Oct 1, 2021 Accepting new patients
Dr Daniel a Howard PLLC CurrentSince Jul 9, 2025 Accepting new patients
Fast Pace Kentucky PLLC Family CurrentSince Dec 15, 2020 Accepting new patients
Hospital Medicine Services of Tennessee PC Nurse Practitioner CurrentSince Jun 7, 2017 Accepting new patients
Southeastern Emergency Services P C Nurse Practitioner CurrentSince May 26, 2016 Accepting new patients
Fast Pace Kentucky, PLLC CurrentSince Dec 15, 2020 Accepting new patients
Western Baptist Medical Ventures, Inc. Family Past Accepting new patients

Locations

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

1475 Nashville Rd
Franklin, KY 42134
Phone (270) 813-1111

150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773

1019 Paducah Rd
Ste B
Mayfield, KY 42066
Phone (270) 804-7408

1099 Medical Center Cir
Mayfield, KY 42066
Phone (270) 251-4100

901 N 12th St
Murray, KY 42071
Phone (270) 873-2022

150 N Highway 27
Somerset, KY 42503
Phone (606) 485-1021

360 Amsden Ave
Versailles, KY 40383
Phone (606) 873-3111

Organizations & group practices 8

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 3

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": "1269388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1013231786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 PADUCAH RD STE B",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420663616",
            "telephone_number": "270-804-7408",
            "fax_number": "866-985-7514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 PADUCAH RD STE B",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420663616",
            "telephone_number": "270-804-7408",
            "fax_number": "866-985-7514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "JENNIFER",
        "middle_name": "KAYE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-24",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3006410 GRP",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "6410P",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3006410",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3006410",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100113990",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "618423",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW APRN # 01-10-11",
            "identifier": "3006410",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayfield, KY

Sources for this page

Verify at the official NPI Registry.