Individual provider Active NPI

Jennifer L Delk, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Franklin, KY
National Provider Identifier
1205165156
Registry record updated Dec 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3006240 Issued in KY
Practice address
1112 S Main St
Franklin, KY 42134-2371
Phone
(270) 586-1969
Fax
(270) 586-1914
NPI assigned
Dec 23, 2009
Last updated
Dec 18, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3006240 KY Primary

Addresses

Primary practice location

1112 S Main St
Franklin, KY 42134-2371

Mailing address

201 Park St
Bowling Green, KY 42101-1759
Phone (270) 586-1969

Other practice location 1

1112 S Main St
Franklin, KY 42134-2371
Phone (270) 586-1969

Other identifiers 1

IdentifierTypeStateIssuer
7100153600MedicaidKY

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
I20140402002023 KY Practitioner - Nurse Practitioner 0941431084 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Graves Gilbert Clinic PLLCGroup PAC ID 4082511167, 207 clinicians

Practice addresses (Care Compare)

1112 S Main St
Franklin, KY 42134-2322
Phone (270) 781-5111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3006240KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pai Participant 1 LLC CurrentSince Nov 19, 2024 Accepting new patients
Graves Gilbert Clinic PLLC CurrentSince Jan 1, 2017 Accepting new patients
Graves Gilbert Clinic PLLC CurrentSince Jan 1, 2017 Accepting new patients

Locations

201 Park St
Bowling Green, KY 42101
Phone (270) 651-2229

1112 S Main St
Franklin, KY 42134
Phone (270) 586-1969

208 S Main St
Franklin, KY 42134
Phone (270) 781-6477

3300 Tates Creek Rd
Lexington, KY 40502
Phone (859) 226-2126

Interoperability endpoints

  • Direct secure messaging: jenniferdelk@ggc.allscriptsdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1261526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513555200000",
    "number": "1205165156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 PARK ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011759",
            "telephone_number": "270-586-1969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 S MAIN ST",
            "city": "FRANKLIN",
            "state": "KY",
            "postal_code": "421342371",
            "telephone_number": "270-586-1969",
            "fax_number": "270-586-1914"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1112 S Main St",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "KY",
            "postal_code": "421342371",
            "country_code": "US",
            "telephone_number": "270-586-1969",
            "fax_number": "270-586-1914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELK",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-23",
        "last_updated": "2017-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3006240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100153600",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, KY

Sources for this page

Verify at the official NPI Registry.