Individual provider Active NPI

Jessica L Jeffries, M.D.

  • Pulmonary Disease Physician
  • Evansville, IN
National Provider Identifier
1033377106
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
01075980A Issued in IN
Practice address
519 Harriet St
Evansville, IN 47710
Phone
(812) 450-7720
Fax
(812) 450-7730
NPI assigned
May 27, 2008
Last updated
Jul 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 248374 NY
Pulmonary Disease Physician 207RP1001X 01075980A IN Primary

Addresses

Primary practice location

519 Harriet St
Evansville, IN 47710

Mailing address

PO Box 3407
Evansville, IN 47733-3407
Phone (812) 450-6815

Other practice location 1

1 Gustave L Levy Pl
Box 1118
New York, NY 10029-6500
Phone (212) 241-8170

Other practice location 2

1 Gustave L Levy Pl
Box 1118
New York, NY 10029-6500
Phone (212) 241-8170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151019000733 IN Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 8527222579 Reassigns benefits to 1 organization
I20241004001895 KY Practitioner - Pulmonary Disease 8527222579 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Hospital, Inc.Group PAC ID 9032021431, 410 clinicians

Practice addresses (Care Compare)

1413 N Elm St
Henderson, KY 42420-2768
Phone (270) 561-0202

519 Harriet St
Evansville, IN 47710-1715
Phone (812) 450-7720

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.82 of 100Reported as group
Quality
91.59
Promoting interoperability
100
Improvement activities
40
Cost
76.82

Merit-based Incentive Payment System (MIPS)

Final score
87.17 of 100Reported as group
Quality
82.57
Promoting interoperability
100
Improvement activities
40
Cost
71.91

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Health, Inc. Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
Deaconess Hospital, Inc Internal Medicine Current Accepting new patients
Deaconess Hospital, Inc Internal Medicine CurrentSince Jul 30, 2024 Accepting new patients
Deaconess Hospital Inc CurrentSince Nov 1, 2015 Accepting new patients
Methodist Health, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Deaconess Hospital, Inc Internal Medicine CurrentSince Nov 1, 2015 Accepting new patients

Locations

4600 W Lloyd Expy
Evansville, IN 47712
Phone (812) 450-6311

519 Harriet St
Evansville, IN 47710
Phone (812) 423-9699

4015 Gateway Blvd
Ste 2121
Newburgh, IN 47630
Phone (812) 450-7720

1305 N Elm St
Henderson, KY 42420
Phone (270) 827-7100

1413 N Elm St
Henderson, KY 42420
Phone (270) 561-0202

1413 N Elm St
Ste 106
Henderson, KY 42420
Phone (270) 827-0064

Organizations & group practices 7

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 6

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": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1033377106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3407",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477333407",
            "telephone_number": "812-450-6815",
            "fax_number": "812-450-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 HARRIET ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "47710",
            "telephone_number": "812-450-7720",
            "fax_number": "812-450-7730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Gustave L Levy Pl",
            "address_2": "Box 1118",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100296500",
            "country_code": "US",
            "telephone_number": "212-241-8170",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Gustave L Levy Pl",
            "address_2": "Box 1118",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100296500",
            "country_code": "US",
            "telephone_number": "212-241-8170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEFFRIES",
        "first_name": "JESSICA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-27",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "248374",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IN",
            "license": "01075980A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.