Individual provider Active NPI

Jennifer Rae Alexander, APRN, PMHMP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Salem, KY
National Provider Identifier
1144933235
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3018838 Issued in KY
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230208001271 KY Practitioner - Nurse Practitioner 9335511948 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
Tri-Rivers Healthcare PLLCGroup PAC ID 8426965278, 14 clinicians

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

LicenseStateTypeSpecialty
3018838KYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Crittenden Community Hospital LLC CurrentSince Jan 1, 2023 Accepting new patients
Crittenden Community Hospital LLC CurrentSince Jan 1, 2023 Accepting new patients
Family Practice Clinic PSC Current Accepting new patients
Tri-Rivers Healthcare PLLC Current Accepting new patients
Tri-Rivers Healthcare PLLC CurrentSince May 1, 2024 Accepting new patients
Tri-Rivers Healthcare PLLC CurrentSince May 1, 2024 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

  • FHIR API: https://api.platform.athenahealth.com/17246/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-usa.unify.chbase.com/org/critten-2b2d21fb
  • FHIR API: https://fhir4.healow.com/fhir/r4/JCHFBA
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.