Individual provider Active NPI

Jennifer Overstreet, ARNP

  • Family Nurse Practitioner
  • Columbia, KY
National Provider Identifier
1265739825
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3006837 Issued in KY
Practice address
197 Will Walker Road
Columbia, KY 42728-9999
Phone
(270) 384-9981
Fax
(270) 384-9989
NPI assigned
Feb 17, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 3006837 KY Primary

Addresses

Primary practice location

197 Will Walker Road
Columbia, KY 42728-9999

Mailing address

PO Box 1080
Burkesville, KY 42717-1080
Phone (270) 858-6655

Other practice location 1

511 Middleburg Street
Liberty, KY 42539
Phone (606) 787-8051

Other practice location 2

511 Middleburg Street
Liberty, KY 42539
Phone (606) 787-8051

Other identifiers 1

IdentifierTypeStateIssuer
7100155770MedicaidKY

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
I20110318000154 KY Practitioner - Nurse Practitioner 2466635123 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Family Medical Clinic Mount VernonGroup PAC ID 2062780810, 6 clinicians
Advanced Family Medical Clinic LibertyGroup PAC ID 3173891926, 5 clinicians

Practice addresses (Care Compare)

79 Sarahs LN
Somerset, KY 42503-2789
Phone (606) 392-2060

84 Hustonville St
Liberty, KY 42539-3469
Phone (606) 706-7473

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
69.66 of 100Reported as group
Quality
39.23
Promoting interoperability
99
Improvement activities
40
Cost
43.79

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3006837KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ephraim McDowell Health Resource, Inc. CurrentSince Nov 1, 2013 Accepting new patients
Ephraim McDowell Health Resource, Inc. Family Current Accepting new patients
Advanced Family Medical Clinic Liberty CurrentSince Sep 14, 2020 Accepting new patients
Ephraim McDowell Health Resource, Inc Family CurrentSince Nov 1, 2013 Accepting new patients

Locations

1541 Lebanon Rd
Ste 1
Danville, KY 40422
Phone (859) 236-3208

109 Daniel Dr
Danville, KY 40422
Phone (859) 236-3361

478 Whirlaway Dr
#200
Danville, KY 40422
Phone (859) 236-3208

405 Danville St
Lancaster, KY 40444
Phone (859) 792-2124

510 N Camp Dick Rd
Lancaster, KY 40444
Phone (859) 548-8000

511 Middleburg St
Liberty, KY 42539
Phone (606) 236-2388

84 Hustonville St
Liberty, KY 42539
Phone (606) 303-9011

280 Lincoln Dr
Springfield, KY 40069
Phone (859) 336-9801

Interoperability endpoints

  • Direct secure messaging: overstreet.jennifer.010.0170014@cfmc.meditab.direct-ci.com

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.

Hospital & facility affiliations 10

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": "1297900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1265739825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1080",
            "city": "BURKESVILLE",
            "state": "KY",
            "postal_code": "427171080",
            "telephone_number": "270-858-6655",
            "fax_number": "270-858-4027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 WILL WALKER ROAD",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "427289999",
            "telephone_number": "270-384-9981",
            "fax_number": "270-384-9989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "511 MIDDLEBURG STREET",
            "address_purpose": "LOCATION",
            "city": "LIBERTY",
            "state": "KY",
            "postal_code": "42539",
            "country_code": "US",
            "telephone_number": "606-787-8051",
            "fax_number": "606-787-5545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "511 MIDDLEBURG STREET",
            "address_purpose": "LOCATION",
            "city": "LIBERTY",
            "state": "KY",
            "postal_code": "42539",
            "country_code": "US",
            "telephone_number": "606-787-8051",
            "fax_number": "606-787-5545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OVERSTREET",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3006837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100155770",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, KY

Sources for this page

Verify at the official NPI Registry.