Individual provider Active NPI

Jonathan Bailey, APRN, FNP-C

  • Family Nurse Practitioner
  • Benton, KY
National Provider Identifier
1083330914
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3018519 Issued in KY
Practice address
543 Powell LN
Benton, KY 42025-5366
Phone
(270) 415-7070
Fax
(270) 415-7071
NPI assigned
Oct 12, 2022
Last updated
Jun 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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 3018519 KY Primary

Addresses

Primary practice location

543 Powell LN
Benton, KY 42025-5366

Mailing address

543 Powell LN
Benton, KY 42025-5366
Phone (270) 415-7070

Other practice location 1

506 N 12th St
Murray, KY 42071-1660
Phone (270) 415-7055

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
I20230322000757 KY Practitioner - Nurse Practitioner 1456725035 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, shared by 31 NPIs, 2,431 clinicians

Practice addresses (Care Compare)

4754 US Hwy 62
Calvert City, KY 42029-8456
Phone (270) 415-7780

506 N 12TH St
Murray, KY 42071-1660
Phone (270) 415-7055

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3018519KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Mar 11, 2023 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Mar 11, 2023 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Mar 11, 2023 Accepting new patients

Locations

543 Powell Ln
Benton, KY 42025
Phone (270) 252-1700

4754 US Highway 62
Calvert City, KY 42029
Phone (270) 415-7745

96 Future Dr
Corbin, KY 40701

5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924

506 N 12th St
Murray, KY 42071
Phone (270) 415-7055

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1665532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1083330914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 POWELL LN",
            "city": "BENTON",
            "state": "KY",
            "postal_code": "420255366",
            "telephone_number": "270-415-7070",
            "fax_number": "270-415-7071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 POWELL LN",
            "city": "BENTON",
            "state": "KY",
            "postal_code": "420255366",
            "telephone_number": "270-415-7070",
            "fax_number": "270-415-7071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "506 N 12th St",
            "address_purpose": "LOCATION",
            "city": "Murray",
            "state": "KY",
            "postal_code": "420711660",
            "country_code": "US",
            "telephone_number": "270-415-7055",
            "fax_number": "270-415-7056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "JONATHAN",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-12",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3018519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton, KY

Sources for this page

Verify at the official NPI Registry.