Active NPI
Jennifer Rae Alexander, APRN, PMHMP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Salem, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 3018838
- Practice address
- 141 Hospital Dr
Salem, KY 42078-8043 - Phone
- (270) 988-3298
- Fax
- (270) 988-4642
- NPI assigned
- Jan 4, 2023
- Last updated
- May 9, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 3018838 | KY | Primary |
Addresses
Primary practice location
141 Hospital Dr
Salem, KY 42078-8043
Mailing address
106 Summit Dr
Marion, KY 42064-1249
Phone (270) 969-1995
Other practice location 1
518 W Gum St
Marion, KY 42064-1516
Phone (270) 965-5238
Other practice location 2
308 S Main St
Marion, KY 42064-1545
Phone (270) 965-4377
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
Enrollment records 1
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
Practice addresses (Care Compare)
131 Hospital Dr
Salem, KY 42078-8043
Phone (270) 988-2299
141 Hospital Dr
Salem, KY 42078-8043
308 S Main St
Marion, KY 42064-1545
Phone (270) 965-4377
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3018838 | KY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crittenden Community Hospital LLC | Current | Accepting new patients | |
| Crittenden Community Hospital LLC | Current | Accepting new patients | |
| Family Practice Clinic PSC | Current | Accepting new patients | |
| Tri-Rivers Healthcare PLLC | Current | Accepting new patients | |
| Tri-Rivers Healthcare PLLC | Current | Accepting new patients | |
| Tri-Rivers Healthcare PLLC | Current | Accepting new patients | |
| Tri-Rivers Healthcare, PLLC | Past | Accepting new patients |
Locations
308 S Main St
Marion, KY 42064
Phone (270) 965-4377
518 W Gum St
Marion, KY 42064
Phone (270) 965-5238
131 Hospital Dr
Salem, KY 42078
Phone (270) 988-2299
141 Hospital Dr
Salem, KY 42078
Phone (270) 988-3298
141 Hospital Dr
Ste 102
Salem, KY 42078
Phone (270) 988-3298
Interoperability endpoints
- https://api.platform.athenahealth.com/17246/brand/1/csg/1/fhir/r4
- https://fhir-usa.unify.chbase.com/org/critten-2b2d21fb
- https://fhir4.healow.com/fhir/r4/JCHFBA
- jennifer.alexander.1@17246.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Smithland Medical Clinic
- Rural Health Clinic/Center
- Smithland, KY
- NPI 1598885998
-
dba Crittenden Community Hospital
- Emergency Medicine Physician
- Marion, KY
- NPI 1275097339
-
- Family Medicine Physician
- Marion, KY
- NPI 1467454041
-
dba Salem Medical Clinic
- Rural Health Clinic/Center
- Salem, KY
- NPI 1588644496
-
dba Marion Physicians Clinic
- Rural Health Clinic/Center
- Marion, KY
- NPI 1699895003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715212800000",
"number": "1144933235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 SUMMIT DR",
"city": "MARION",
"state": "KY",
"postal_code": "420641249",
"telephone_number": "270-969-1995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 HOSPITAL DR",
"city": "SALEM",
"state": "KY",
"postal_code": "420788043",
"telephone_number": "270-988-3298",
"fax_number": "270-988-4642"
}
],
"practiceLocations": [
{
"address_1": "518 W Gum St",
"address_purpose": "LOCATION",
"city": "Marion",
"state": "KY",
"postal_code": "420641516",
"country_code": "US",
"telephone_number": "270-965-5238",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "308 S Main St",
"address_purpose": "LOCATION",
"city": "Marion",
"state": "KY",
"postal_code": "420641545",
"country_code": "US",
"telephone_number": "270-965-4377",
"fax_number": "270-965-9569",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALEXANDER",
"first_name": "JENNIFER",
"middle_name": "RAE",
"name_prefix": "Mrs.",
"credential": "APRN, PMHMP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-04",
"last_updated": "2024-05-09",
"certification_date": "2024-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "KY",
"license": "3018838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salem, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.