Individual provider Active NPI

Robert Walter Jensen, MD

  • Neuro-ophthalmology Physician
  • Lexington, KY
National Provider Identifier
1083741961
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuro-ophthalmology PhysicianTaxonomy code 207WX0109X
License
28343 Issued in KY
Practice address
740 S Limestone Ste B101
Lexington, KY 40536-1613
Phone
(859) 323-5661
Fax
(859) 323-6411
NPI assigned
Feb 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 04-35404 KS
Neuro-ophthalmology Physician 207WX0109X 28419 AZ
Otology & Neurotology Physician 207YX0901X 04-35404 KS
Otology & Neurotology Physician 207YX0901X 28343 KY
Neurology Physician 2084N0400X 04-35404 KS
Neurology Physician 2084N0400X 2019042323 MO
Neurology Physician 2084N0400X 28343 KY
Pain Medicine (Psychiatry & Neurology) Physician 2084P2900X 28419 AZ
Neuro-ophthalmology Physician 207WX0109X 28343 KY Primary

Addresses

Primary practice location

740 S Limestone Ste B101
Lexington, KY 40536-1613

Mailing address

21309 W 56TH St
Shawnee Mission, KS 66218-9384

Other practice location 1

820 Ainsworth Dr Ste A
Prescott, AZ 86301-1613
Phone (928) 778-0827

Other identifiers 1

IdentifierTypeStateIssuer
421094MedicaidAZ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ROBERT.JENSEN@hca2.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, 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
I20090504000385 AZ Practitioner - Neurology 8224012737 Reassigns benefits to 1 organization
I20250314002100 KY Practitioner - Neurology 8224012737 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of California, San Francisco School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kentucky Medical Services Foundation, IncGroup PAC ID 5698689909, 949 clinicians

Practice addresses (Care Compare)

740 S Limestone St
Lexington, KY 40508-1683
Phone (859) 257-8562

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28419AZMDNeuro-ophthalmology Physician
28343KYMDNeuro-ophthalmology Physician
04-35404KSMDOtology & Neurotology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid Ohio Neuro Ophthalmology and Neuro Otology Inc Neurology CurrentSince Apr 5, 2007 Accepting new patients
Yrmc Hospice CurrentSince Mar 6, 2018 Accepting new patients
University of Kentucky CurrentSince Mar 5, 2025 Accepting new patients
Yavapai Pathology Associates PLC Current Accepting new patients
Yavapai Community Hospital Association CurrentSince Mar 6, 2018 Accepting new patients
Kentucky Medical Services Foundation, Inc Family Medicine CurrentSince Mar 5, 2025 Accepting new patients
Osu Neuroscience Center LLC Neurology Past Accepting new patients

Locations

1003 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 445-2700

3120 Clearwater Dr
Prescott, AZ 86305
Phone (928) 445-4818

2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

751 Forest Ave
Ste 400
Zanesville, OH 43701
Phone (740) 452-4053

2951 Maple Ave
Zanesville, OH 43701
Phone (740) 454-4000

Interoperability endpoints

  • Direct secure messaging: robert.jensen@hca2.eclinicaldirectplus.com
  • Direct secure messaging: robert.jensen@direct.myteamcare.com

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1083741961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21309 W 56TH ST",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662189384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 S LIMESTONE STE B101",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405361613",
            "telephone_number": "859-323-5661",
            "fax_number": "859-323-6411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "820 Ainsworth Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AZ",
            "postal_code": "863011613",
            "country_code": "US",
            "telephone_number": "928-778-0827",
            "fax_number": "928-778-5622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "ROBERT",
        "middle_name": "WALTER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KS",
            "license": "04-35404",
            "primary": false
        },
        {
            "code": "207WX0109X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Neuro-ophthalmology",
            "state": "AZ",
            "license": "28419",
            "primary": false
        },
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "KS",
            "license": "04-35404",
            "primary": false
        },
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "KY",
            "license": "28343",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KS",
            "license": "04-35404",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "2019042323",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KY",
            "license": "28343",
            "primary": false
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "AZ",
            "license": "28419",
            "primary": false
        },
        {
            "code": "207WX0109X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Neuro-ophthalmology",
            "state": "KY",
            "license": "28343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "421094",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ROBERT.JENSEN@hca2.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "820 Ainsworth Dr Ste A",
            "city": "Prescott",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "863011613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.