Individual provider Active NPI

Kathryn Susan Jasper, APRN

  • Family Nurse Practitioner
  • Stearns, KY
National Provider Identifier
1023153152
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3002568 Issued in KY
Practice address
2157 S Highway 27
Stearns, KY 42647-6297
Phone
(606) 376-9700
Fax
(606) 376-9703
NPI assigned
Feb 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3002568 KY Primary

Addresses

Primary practice location

2157 S Highway 27
Stearns, KY 42647-6297

Mailing address

PO Box 28
Stearns, KY 42647-0028
Phone (606) 376-9700

Other practice location 1

896 S Highway 25 W
Williamsburg, KY 40769-1691
Phone (606) 515-6124

Other identifiers 1

IdentifierTypeStateIssuer
78003050MedicaidKY

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
I20110222000454 KY Practitioner - Nurse Practitioner 1456480847 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hope Primary and Urgent Care PLLCGroup PAC ID 3678818580, 11 clinicians

Practice addresses (Care Compare)

2157 S Hwy 27
Stearns, KY 42647-6297
Phone (606) 376-9700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2568KYMDRegistered Dietitian
3002568KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Primary & Urgent Care PLLC CurrentSince Sep 6, 2024 Accepting new patients
Hope Primary & Urgent Care of Williamsburg PLLC CurrentSince Apr 22, 2024 Accepting new patients

Locations

2157 S Highway 27
Stearns, KY 42647
Phone (606) 376-9700

896 S Highway 25 W
Williamsburg, KY 40769
Phone (606) 376-9700

Interoperability endpoints

  • Direct secure messaging: jasper.kathryn.002.0170014@cfmc.meditab.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/EAHACD/Endpoint/EAHACD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1023153152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28",
            "city": "STEARNS",
            "state": "KY",
            "postal_code": "426470028",
            "telephone_number": "606-376-9700",
            "fax_number": "606-376-9703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2157 S HIGHWAY 27",
            "city": "STEARNS",
            "state": "KY",
            "postal_code": "426476297",
            "telephone_number": "606-376-9700",
            "fax_number": "606-376-9703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "896 S Highway 25 W",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "KY",
            "postal_code": "407691691",
            "country_code": "US",
            "telephone_number": "606-515-6124",
            "fax_number": "606-515-6163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JASPER",
        "first_name": "KATHRYN",
        "middle_name": "SUSAN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3002568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78003050",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stearns, KY

Sources for this page

Verify at the official NPI Registry.