Individual provider Active NPI

Jennifer J Skorupa, MD

  • Family Medicine Physician
  • Lexington, KY
National Provider Identifier
1295046688
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
46234 Issued in KY
Practice address
2452 Sir Barton Way Ste 303
Lexington, KY 40509-2549
Phone
(859) 340-3233
NPI assigned
Jun 30, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 46234 KY Primary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 46234 KY

Addresses

Primary practice location

2452 Sir Barton Way Ste 303
Lexington, KY 40509-2549

Mailing address

PO Box 40412
Belfast, ME 04915-1255
Phone (248) 266-4200

Other practice location 1

3033 Kettering Blvd Ste 100
Moraine, OH 45439-1948
Phone (937) 293-2133

Other practice location 2

4435 Aicholtz Rd Ste 400
Cincinnati, OH 45245-1691
Phone (513) 947-0400

Other practice location 3

1733 Harrodsburg Rd
Lexington, KY 40504-3277
Phone (859) 278-4869

Other identifiers 1

IdentifierTypeStateIssuer
7100295430MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141023002140 KY Practitioner - Family PracticePractitioner - Hospice/Palliative Care 3476774068 Reassigns benefits to 2 organizations
I20240312002493 OH Practitioner - Family Practice 3476774068 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Eastern Virginia Medical School, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vpa PCGroup PAC ID 9234041948, shared by 21 NPIs, 181 clinicians

Practice addresses (Care Compare)

Lexington, KY 40509
Phone (859) 340-3233

7206 Market St
A
Boardman, OH 44512-4562
Phone (330) 726-3379

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
46234KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC Family Medicine CurrentSince Feb 1, 2024 Accepting new patients
Vpa PC Family Medicine CurrentSince Feb 1, 2024 Accepting new patients
Palliative Care Center of the Bluegrass Inc. Family Medicine CurrentSince Aug 30, 2014 Accepting new patients
Vpa PC Family Medicine Current Accepting new patients
Vpa PC Current Accepting new patients
Vpa PC Family Medicine CurrentSince Oct 12, 2025 Accepting new patients
Vpa PC Family Medicine Current Accepting new patients

Locations

1733 Harrodsburg Rd
Lexington, KY 40504
Phone (859) 276-5344

2312 Alexandria Dr
Lexington, KY 40504
Phone (859) 276-5344

2452 Sir Barton Way
Ste 303
Lexington, KY 40509
Phone (859) 340-3233

4435 Aicholtz Rd
Ste 400
Cincinnati, OH 45245
Phone (513) 326-3007

355 E Campus View Blvd
Ste 180
Columbus, OH 43235
Phone (614) 523-2155

3033 Kettering Blvd
Ste 100
Moraine, OH 45439
Phone (937) 293-2133

7206 Market St
Ste A
Youngstown, OH 44512
Phone (330) 726-3379

Interoperability endpoints

  • Direct secure messaging: jennifer.skorupa.1@32913.direct.athenahealth.com

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1295046688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40412",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049151255",
            "telephone_number": "248-266-4200",
            "fax_number": "855-618-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2452 SIR BARTON WAY STE 303",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092549",
            "telephone_number": "859-340-3233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3033 Kettering Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Moraine",
            "state": "OH",
            "postal_code": "454391948",
            "country_code": "US",
            "telephone_number": "937-293-2133",
            "fax_number": "855-252-2435",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4435 Aicholtz Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452451691",
            "country_code": "US",
            "telephone_number": "513-947-0400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1733 Harrodsburg Rd",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405043277",
            "country_code": "US",
            "telephone_number": "859-278-4869",
            "fax_number": "859-296-0362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKORUPA",
        "first_name": "JENNIFER",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-30",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "46234",
            "primary": true
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "KY",
            "license": "46234",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100295430",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.