Individual provider Active NPI

Jama R Patterson, APRN, FNP

  • Family Nurse Practitioner
  • Henderson, KY
National Provider Identifier
1104343714
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3012171 Issued in KY
Practice address
1200 Barrett Blvd
Henderson, KY 42420-4950
Phone
(270) 844-8600
Fax
(270) 844-8610
NPI assigned
Aug 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 28238593A IN
Family Nurse Practitioner 363LF0000X 3012171 KY Primary

Addresses

Primary practice location

1200 Barrett Blvd
Henderson, KY 42420-4950

Mailing address

PO Box 23229
Owensboro, KY 42304-3229
Phone (270) 688-1330

Other practice location 1

4506 1st Ave
Evansville, IN 47710-3624
Phone (812) 428-6161

Other practice location 2

4506 1st Ave
Evansville, IN 47710-3624
Phone (812) 428-6161

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jpatterson86624@direct.owensborohealth.org

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
I20180412002224 KY Practitioner - Nurse Practitioner 5092078691 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1200 Barret Blvd
Henderson, KY 42420-4950
Phone (270) 844-8600

2211 Mayfair Dr
Owensboro, KY 42301-4569

PO Box
Suite 23229
Owensboro, KY 42304-3229

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
28238593AINMDNurse Practitioner
3012171KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Owensboro Health Medical Group Inc Family CurrentSince Apr 2, 2018 Accepting new patients
Owensboro Health Medical Group, Inc. Nurse Practitioner CurrentSince Apr 2, 2018 Accepting new patients
Owensboro Health Medical Group Inc Current Accepting new patients
Owensboro Health Medical Group, Inc Nurse Practitioner Past Accepting new patients

Locations

1200 Barret Blvd
Henderson, KY 42420
Phone (270) 844-8600

2211 Mayfair Dr
Ste 101
Owensboro, KY 42301
Phone (270) 688-1352

2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351

Organizations & group practices 4

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": "1503532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1104343714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23229",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423043229",
            "telephone_number": "270-688-1330",
            "fax_number": "270-688-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 BARRETT BLVD",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424204950",
            "telephone_number": "270-844-8600",
            "fax_number": "270-844-8610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4506 1st Ave",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477103624",
            "country_code": "US",
            "telephone_number": "812-428-6161",
            "fax_number": "812-421-2883",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4506 1st Ave",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477103624",
            "country_code": "US",
            "telephone_number": "812-428-6161",
            "fax_number": "812-421-2883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "JAMA",
        "middle_name": "R",
        "credential": "APRN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-24",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "28238593A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3012171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jpatterson86624@direct.owensborohealth.org",
            "affiliation": "N",
            "address_1": "4506 1st Ave",
            "city": "Evansville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "477103624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Henderson, KY

Sources for this page

Verify at the official NPI Registry.