Denise Jones, DNP

Individual provider Active NPI Adult Health Nurse Practitioner · Lexington, KY

NPI 1013590702 · NPPES record last updated Nov 27, 2024

Key facts

NPI
1013590702
Entity type
Individual (NPI type 1)
Primary specialty
Adult Health Nurse Practitioner 363LA2200X
License
3015973 (KY)
Practice address
120 Prosperous PL Ste 102
Lexington, KY 40509-1866
Phone
(859) 264-1815
Fax
(859) 264-1820
NPI assigned
Apr 30, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Commonwealth Sleep and Rehab, PLLC (4 clinicians)

Practice addresses (Care Compare)

150 N Eagle Creek Dr
FL 2
Lexington, KY 40509-1805
Phone (859) 967-5309

Hospital & facility affiliations

  • Saint Joseph East Hospital · Lexington, KY · CCN 180143
  • Saint Joseph Mount Sterling Hospital · Mount Sterling, KY · CCN 180064
  • Baptist Health Lexington Hospital · Lexington, KY · CCN 180103
  • CHI Saint Joseph Berea NF Hospital · Berea, KY · CCN 181329

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20230427001172 KY Practitioner - Nurse Practitioner 4688039530 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
3015973KYMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care Ky PSC Current
since May 15, 2023
Accepting new patients
Commonwealth Sleep and Rehab, PLLC Adult Health Current
since Dec 1, 2024
Accepting new patients
Centerwell Senior Primary Care (Ky) PSC Current
since May 15, 2023
Accepting new patients

Locations

3101 Richmond Rd
Ste 190
Lexington, KY 40509
Phone (859) 309-7613

150 N Eagle Creek Dr
Fl 2
Lexington, KY 40509
Phone (859) 967-5309

120 Prosperous Pl
Ste 102
Lexington, KY 40509
Phone (859) 264-1815

3151 S 2nd St
Louisville, KY 40208
Phone (502) 632-9313

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 3015973 KY
Adult Health Nurse Practitioner 363LA2200X 3015973 KY Yes

Addresses

Primary practice location

120 Prosperous PL Ste 102
Lexington, KY 40509-1866

Mailing address

120 Prosperous PL Ste 102
Lexington, KY 40509-1866
Phone (859) 264-1815

Other identifiers

IdentifierTypeStateIssuer
7100883500MedicaidKY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 27, 2024.

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1013590702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 PROSPEROUS PL STE 102",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091866",
            "telephone_number": "859-264-1815",
            "fax_number": "859-264-1820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 PROSPEROUS PL STE 102",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091866",
            "telephone_number": "859-264-1815",
            "fax_number": "859-264-1820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-30",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "KY",
            "license": "3015973",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KY",
            "license": "3015973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100883500",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

All providers in Lexington, KY · Adult Health Nurse Practitioner in Kentucky

Sources for this page

Verify at the official NPI Registry.