Jennifer Averbeck, DNP APRN FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Campbellsville, KY
NPI 1205514296 · NPPES record last updated Jul 10, 2023
Key facts
- NPI
- 1205514296
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 3004091 (KY)
- Practice address
- 106 Winston Way
Campbellsville, KY 42718-4953 - Phone
- (270) 789-0034
- Fax
- (270) 789-0097
- NPI assigned
- Jul 10, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- University of Kentucky College of Medicine, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- One Cross Health Clinic Inc
Practice addresses (Care Compare)
106 Winston Way
Campbellsville, KY 42718-4953
Phone (270) 789-0034
Hospital & facility affiliations
- Taylor Regional Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241008003351 | KY | Practitioner - Nurse Practitioner | 2668903147 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3004091 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| One Cross Community, Inc. | Current |
Accepting new patients | |
| One Cross Health Clinic Inc | Current |
Accepting new patients | |
| One Cross Community, Inc. | Current |
Accepting new patients |
Locations
101 Winston Way
Lot E
Campbellsvlle, KY 42718
Phone (270) 789-0034
106 Winston Way
Campbellsvlle, KY 42718
Phone (270) 789-0034
102 Winston Way
Ste 5
Campbellsvlle, KY 42718
Phone (270) 789-0034
429 W Walnut St
Lebanon, KY 40033
Phone (270) 295-1010
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GACJCA/Endpoint/GACJCA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3004091 | KY | Yes |
Addresses
Primary practice location
106 Winston Way
Campbellsville, KY 42718-4953
Mailing address
106 Winston Way
Campbellsville, KY 42718-4953
Phone (270) 789-0034
Other practice location 1
429 W Walnut St
Lebanon, KY 40033-1346
Phone (270) 295-1010
Other providers in Campbellsville, KY
- Arthur a. Haley OD PSC
- Kirsten L Ashby
- Stacey Deann Ashley
- Michael Atcher
- Jamie Lynn Atwood
- Perry Davis Babcock
- Michael Henry Bahr
- Edward L Baise
- Carrie Ball
- Colleen R Ball
All providers in Campbellsville, KY · Family Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.