Active NPI
Jordyn Underwood
- Physician Assistant
- Edgewood, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- TC285
- Practice address
- 20 Medical Village Dr
Edgewood, KY 41017-5401 - Phone
- (859) 344-1600
- Fax
- (859) 344-0091
- NPI assigned
- Jul 7, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | |||
| Physician Assistant | 363A00000X | TC285 | KY | Primary |
Addresses
Primary practice location
20 Medical Village Dr
Edgewood, KY 41017-5401
Mailing address
20 Medical Village Dr
Edgewood, KY 41017-5401
Phone (859) 344-1600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221018002650 | KY | Practitioner - Physician Assistant | 1557737475 | Reassigns benefits to 1 organization |
| I20230911001643 | IN | Practitioner - Physician Assistant | 1557737475 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1373 E State Rd
Madison, IN 47250-7328
Phone (812) 801-0810
1850 State St
New Albany, IN 47150-4990
Phone (812) 949-5550
2125 State St
New Albany, IN 47150-4972
Hospital & facility affiliations
- Baptist Health Floyd
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.29 of 100
- Quality
- 87.32
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Summit Medical Group, Inc. | Current | Accepting new patients | |
| Summit Medical Group, Inc | Physician Assistant | Current | Accepting new patients |
Locations
1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196
20 Medical Village Dr
Edgewood, KY 41017
Phone (859) 344-1600
4900 Houston Rd
Florence, KY 41042
Phone (859) 212-5200
1901 Campus Pl
Louisville, KY 40299
Phone (502) 253-4911
300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Erlanger, KY
- NPI 1750343216
KY, Physician Assistant
-
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
-
- Foot & Ankle Surgery Podiatrist
- Crestview Hills, KY
- NPI 1043188378
-
- Rural Health Clinic/Center
- Scottsburg, IN
- NPI 1467057042
Hospital & facility affiliations 1
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": "1657152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663632000000",
"number": "1194458943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 MEDICAL VILLAGE DR",
"city": "EDGEWOOD",
"state": "KY",
"postal_code": "410175401",
"telephone_number": "859-344-1600",
"fax_number": "859-344-0091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 MEDICAL VILLAGE DR",
"city": "EDGEWOOD",
"state": "KY",
"postal_code": "410175401",
"telephone_number": "859-344-1600",
"fax_number": "859-344-0091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UNDERWOOD",
"first_name": "JORDYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-07",
"last_updated": "2022-09-20",
"certification_date": "2022-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KY",
"license": "TC285",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edgewood, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.