Individual provider Active NPI

Jessica Lynn Gargus, ARNP

  • Acute Care Nurse Practitioner
  • Murray, KY
National Provider Identifier
1255309506
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
3004694 Issued in KY
Practice address
1210 Johnson Blvd Ste 3
Murray, KY 42071-2973
Phone
(270) 759-4098
Fax
(270) 761-4131
NPI assigned
Mar 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 3004694 KY Primary

Addresses

Primary practice location

1210 Johnson Blvd Ste 3
Murray, KY 42071-2973

Mailing address

2700 Stanley Gault Pkwy Ste 129
Louisville, KY 40223-5176
Phone (270) 326-3949

Other practice location 1

4754 US Highway 62
Calvert City, KY 42029-8456
Phone (270) 415-7780

Other identifiers 1

IdentifierTypeStateIssuer
78016318MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jgargus6870@bhkydirect.com

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
I20051012000848 KY Practitioner - Nurse Practitioner 6002831674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

4754 US Hwy 62
Calvert City, KY 42029-8456
Phone (270) 415-7780

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3004694KYMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Jan 4, 2015 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jan 4, 2015 Accepting new patients
Western Baptist Medical Ventures, Inc. Past Accepting new patients
Western Kentucky Cardiology Consultants, PSC Acute Care Past Accepting new patients

Locations

4754 US Highway 62
Calvert City, KY 42029
Phone (270) 415-7745

2700 Stanley Gault Pkwy
Ste 129
Louisville, KY 40223
Phone (502) 253-4900

1210 Johnson Blvd
Ste 3
Murray, KY 42071
Phone (270) 759-4098

300 S 8th St
Ste 181W
Murray, KY 42071
Phone (270) 753-3022

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

2601 Kentucky Ave
Ste 301
Paducah, KY 42003
Phone (270) 575-3113

2603 Kentucky Ave
Ste 404
Paducah, KY 42003
Phone (270) 443-6472

Organizations & group practices 4

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.

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": "1142035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1255309506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 STANLEY GAULT PKWY STE 129",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235176",
            "telephone_number": "270-326-3949",
            "fax_number": "502-489-5751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 JOHNSON BLVD STE 3",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420712973",
            "telephone_number": "270-759-4098",
            "fax_number": "270-761-4131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4754 US Highway 62",
            "address_purpose": "LOCATION",
            "city": "Calvert City",
            "state": "KY",
            "postal_code": "420298456",
            "country_code": "US",
            "telephone_number": "270-415-7780",
            "fax_number": "270-415-7779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARGUS",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-11",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "KY",
            "license": "3004694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78016318",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jgargus6870@bhkydirect.com",
            "affiliation": "N",
            "address_1": "1210 Johnson Blvd Ste 3",
            "city": "Murray",
            "state": "KY",
            "country_code": "US",
            "postal_code": "420712973",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Murray, KY

Sources for this page

Verify at the official NPI Registry.