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
Hospital & facility affiliations 5
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
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
- Saint Joseph Mount Sterling
- Baptist Health Lexington
- CHI Saint Joseph Berea NF
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230427001172 | KY | Practitioner - Nurse Practitioner | 4688039530 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3015973 | KY | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centerwell Senior Primary Care Ky PSC | Current |
Accepting new patients | |
| Commonwealth Sleep and Rehab, PLLC | Adult Health | Current |
Accepting new patients |
| Centerwell Senior Primary Care (Ky) PSC | Current |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100883500 | Medicaid | KY |
NPI Registry JSON
{
"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
- Carrie Harwood Jones
- Charles Randall Jones
- Chloe Thorner Jones
- Christina Lee Jones
- David M. Jones
- Denise Rochelle Jones
- Dillon Jones
- Elizabeth F. Jones
- Ellyn Rose Jones
- Emily Jones
All providers in Lexington, KY · Adult Health Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.