Individual provider Active NPI

Jeana Hensley, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Pikeville, KY
National Provider Identifier
1194441402
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3018548 Issued in KY
Practice address
9613 Millard Hwy
Pikeville, KY 41501-8162
Phone
(606) 552-0400
NPI assigned
Oct 18, 2022
Last updated
Aug 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 115560 WV
Family Nurse Practitioner 363LF0000X 3018548 KY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 115560 WV
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3018548 KY Primary

Addresses

Primary practice location

9613 Millard Hwy
Pikeville, KY 41501-8162

Mailing address

PO Box 390
Huntington, WV 25708-0390
Phone (304) 429-1088

Other practice location 1

141 E 2nd Ave Ste 101
Williamson, WV 25661-3601
Phone (304) 443-0233

Other practice location 2

705 Washington St
Ravenswood, WV 26164-1729
Phone (304) 868-6000

Other practice location 3

557 Main St
Logan, WV 25601-3809
Phone (304) 896-5001

Other practice location 4

312 Hudgins St
Logan, WV 25601-3534
Phone (304) 752-3435

Other practice location 5

601 20th St
Huntington, WV 25703-1512
Phone (304) 781-0076

Other practice location 6

705 Washington St Ste B
Ravenswood, WV 26164-1729
Phone (304) 868-6000

Other practice location 7

141 E 2nd Ave Ste 100
Williamson, WV 25661-3601
Phone (304) 443-0234

Other practice location 8

59 Thacker Rd
Pikeville, KY 41501-3021
Phone (606) 637-2256

Other names 1

  • Jeana Bradford Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, WV, VA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20221107002875 KY Practitioner - Nurse Practitioner 7315314143 Reassigns benefits to 1 organization
I20230609002165 WV Practitioner - Nurse Practitioner 7315314143 Reassigns benefits to 1 organization
I20230628000603 VA Practitioner - Nurse Practitioner 7315314143 Reassigns benefits to 1 organization

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
Ohio Valley Physicians IncGroup PAC ID 8729032966, 130 clinicians

Practice addresses (Care Compare)

1520 Slate Creek Rd
Suite 201
Grundy, VA 24614-6975
Phone (276) 242-2001

601 20TH St
Huntington, WV 25703-1512
Phone (304) 781-0076

9613 Millard Hwy
Pikeville, KY 41501-8162
Phone (606) 552-0400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3018548KYMDPsychiatric/Mental Health Nurse Practitioner
115560WVMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Valley Physicians Inc PastSince May 1, 2022 Accepting new patients

Organizations & group practices 2

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": "1666051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1194441402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 390",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257080390",
            "telephone_number": "304-429-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9613 MILLARD HWY",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415018162",
            "telephone_number": "606-552-0400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "141 E 2nd Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Williamson",
            "state": "WV",
            "postal_code": "256613601",
            "country_code": "US",
            "telephone_number": "304-443-0233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "705 Washington St",
            "address_purpose": "LOCATION",
            "city": "Ravenswood",
            "state": "WV",
            "postal_code": "261641729",
            "country_code": "US",
            "telephone_number": "304-868-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "557 Main St",
            "address_purpose": "LOCATION",
            "city": "Logan",
            "state": "WV",
            "postal_code": "256013809",
            "country_code": "US",
            "telephone_number": "304-896-5001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "312 Hudgins St",
            "address_purpose": "LOCATION",
            "city": "Logan",
            "state": "WV",
            "postal_code": "256013534",
            "country_code": "US",
            "telephone_number": "304-752-3435",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 20th St",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257031512",
            "country_code": "US",
            "telephone_number": "304-781-0076",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "705 Washington St Ste B",
            "address_purpose": "LOCATION",
            "city": "Ravenswood",
            "state": "WV",
            "postal_code": "261641729",
            "country_code": "US",
            "telephone_number": "304-868-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "141 E 2nd Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Williamson",
            "state": "WV",
            "postal_code": "256613601",
            "country_code": "US",
            "telephone_number": "304-443-0234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "59 Thacker Rd",
            "address_purpose": "LOCATION",
            "city": "Pikeville",
            "state": "KY",
            "postal_code": "415013021",
            "country_code": "US",
            "telephone_number": "606-637-2256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENSLEY",
        "first_name": "JEANA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-18",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "115560",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3018548",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WV",
            "license": "115560",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3018548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANA",
            "last_name": "BRADFORD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pikeville, KY

Sources for this page

Verify at the official NPI Registry.