Individual provider Active NPI

Jill Webb Patterson, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Anderson, IN
National Provider Identifier
1235114877
Registry record updated Aug 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
71001927A Issued in IN
Practice address
2210 Jackson St
Anderson, IN 46016-4363
Phone
(765) 683-3118
NPI assigned
Dec 7, 2005
Last updated
Aug 2, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2016

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 71001927A IN Primary

Addresses

Primary practice location

2210 Jackson St
Anderson, IN 46016-4363

Mailing address

8840 Commerce Park PL Ste E
Indianapolis, IN 46268-3129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20040428000719 KY Practitioner - Nurse Practitioner 8224025564 Reassigns benefits to 3 organizations
I20111020000647 IN Practitioner - Nurse Practitioner 8224025564

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ridge Outpatient Counseling, LLCGroup PAC ID 5991690471, 7 clinicians

Practice addresses (Care Compare)

200 E Frazier Ave
Columbia, KY 42728-1915
Phone (270) 384-4719

3050 Rio Dosa Dr
Lexington, KY 40509-1540
Phone (859) 268-6475

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Resurrection Treatment Clinics LLC CurrentSince Apr 13, 2020 Accepting new patients
Ridge Outpatient Counseling, LLC Psychiatric/Mental Health CurrentSince Jun 1, 2022 Accepting new patients
Commonwealth of Kentucky Past Accepting new patients
North Lexington Urgent Treatment Associates PSC Past Accepting new patients
Hopeful Horizons Behavioral Health, LLC Psychiatric/Mental Health PastSince Nov 5, 2023 Accepting new patients
Cpo PSC PastSince Jul 1, 1999 Accepting new patients
Commonwealth of Kentucky Past Accepting new patients

Locations

1718 Alexandria Dr
Ste 101
Lexington, KY 40504
Phone (859) 276-1015

1718 Alexandria Dr
Ste 301
Lexington, KY 40504

3050 Rio Dosa Dr
Lexington, KY 40509
Phone (859) 268-6475

Interoperability endpoints

  • Direct secure messaging: bbh.jillpatterson@140103.advancedmd-direct.com

Organizations & group practices 8

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": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470096000000",
    "number": "1235114877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8840 COMMERCE PARK PL STE E",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462683129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 JACKSON ST",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460164363",
            "telephone_number": "765-683-3118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "JILL",
        "middle_name": "WEBB",
        "name_prefix": "Ms.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-07",
        "last_updated": "2016-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71001927A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, IN

Sources for this page

Verify at the official NPI Registry.