Individual provider Active NPI

Jennifer A Fuson, MD

  • Obstetrics & Gynecology Physician
  • Lexington, KY
National Provider Identifier
1013907369
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
34331 Issued in KY
Practice address
1720 Nicholasville Rd
Ste 702
Lexington, KY 40503-1404
Phone
(859) 264-8811
Fax
(859) 264-8822
NPI assigned
Oct 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 34331 KY Primary

Addresses

Primary practice location

1720 Nicholasville Rd
Ste 702
Lexington, KY 40503-1404

Mailing address

1720 Nicholasville Rd Ste 702
Lexington, KY 40503-1489
Phone (859) 264-8811

Other identifiers 1

IdentifierTypeStateIssuer
64343312MedicaidKY

Other names 1

  • Mrs. Jennifer A Sader Other name

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
I20080306000098 KY Practitioner - Obstetrics/Gynecology 7719062470 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Kentucky College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1720 Nicholasville Rd
Suite 702
Lexington, KY 40503-1489
Phone (859) 264-8811

1775 Alysheba Way
Suite 180
Lexington, KY 40509-2480
Phone (859) 264-8811

615 E Brannon Rd
Suite 200
Nicholasville, KY 40356-7919
Phone (859) 264-8811

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TP720KYMDCritical Care Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist-Physicians Surgery Center Current Accepting new patients
Obstetrics & Gynecology of Indiana, LLC Obstetrics & Gynecology Past Accepting new patients

Locations

1720 Nicholasville Rd
Ste 402
Lexington, KY 40503
Phone (859) 278-0363

1720 Nicholasville Rd
#413
Lexington, KY 40503
Phone (859) 277-5776

1720 Nicholasville Rd
Ste 702
Lexington, KY 40503
Phone (859) 226-0031

Interoperability endpoints

  • Direct secure messaging: jennifer.fuson@axia.eclinicaldirectplus.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1013907369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 NICHOLASVILLE RD STE 702",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031489",
            "telephone_number": "859-264-8811",
            "fax_number": "859-264-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 NICHOLASVILLE RD",
            "address_2": "STE 702",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031404",
            "telephone_number": "859-264-8811",
            "fax_number": "859-264-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUSON",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-27",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "34331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64343312",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SADER",
            "middle_name": "A",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.