Active NPI
Jessica Leigh Ketner, FNP
- Nurse Practitioner
- Roxboro, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5015241
- Practice address
- 3762 Durham Rd Ste a
Roxboro, NC 27573-2741 - Phone
- (336) 330-0400
- NPI assigned
- Jul 23, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 110623 | WV | |
| Nurse Practitioner | 363L00000X | 1176855 | TX | |
| Family Nurse Practitioner | 363LF0000X | 18846 | TN | |
| Nurse Practitioner | 363L00000X | 5015241 | NC | Primary |
Addresses
Primary practice location
3762 Durham Rd Ste a
Roxboro, NC 27573-2741
Mailing address
330 Seven Springs Way
Brentwood, TN 37027-5098
Phone (615) 920-7000
Other practice location 1
700 US 1 Hwy
Youngsville, NC 27596-7872
Phone (919) 562-2340
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, WV, VA, NC, AL, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 6
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141002002150 | TN | Practitioner - Nurse Practitioner | 8628298247 | Reassigns benefits to 3 organizations |
| I20211109001667 | WV | Practitioner - Nurse Practitioner | 8628298247 | Reassigns benefits to 3 organizations |
| I20211111001958 | VA | Practitioner - Nurse Practitioner | 8628298247 | Reassigns benefits to 3 organizations |
| I20220225000401 | NC | Practitioner - Nurse Practitioner | 8628298247 | Reassigns benefits to 6 organizations |
| I20240125002855 | AL | Practitioner - Nurse Practitioner | 8628298247 | Reassigns benefits to 1 organization |
| I20250318003915 | TX | Practitioner - Nurse Practitioner | 8628298247 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Emergency Coverage LLCHealth Care Alliance, Inc.Southeastern Intensivist Services PC
Practice addresses (Care Compare)
1135 Carthage St
Sanford, NC 27330-4162
Phone (919) 774-2100
1607 S Locust Ave Hwy 43
Lawrenceburg, TN 38464-4011
Phone (931) 762-6571
20 Hospital Dr
Logan, WV 25601-3452
Phone (304) 831-1101
200 Hospital Dr
Galax, VA 24333-2227
Phone (276) 236-8181
Hospital & facility affiliations
- Twin County Regional Hospital
- Logan Regional Medical Center
- Wilson Medical Center
- Raleigh General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5015241 | NC | MD | Nurse Practitioner |
| 1176855 | TX | MD | Nurse Practitioner |
| 110623 | WV | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Care Alliance, Inc. | Current | Accepting new patients | |
| DLP Person Urgent Care LLC | Current | Accepting new patients | |
| Southeastern Intensivist Services PC | Current | Accepting new patients | |
| Acs Primary Care Physicians Southwest, PA | Nurse Practitioner | Current | Accepting new patients |
| Emergency Services of Mobile PC | Nurse Practitioner | Current | Accepting new patients |
| Emergency Coverage Services, PC | Nurse Practitioner | Current | Accepting new patients |
| Hospital Physician Services - Southeast Professional Corporation | Nurse Practitioner | Current | Accepting new patients |
| Southeastern Medical Group, PC | Nurse Practitioner | Current | Accepting new patients |
| Emergency Coverage, LLC | Nurse Practitioner | Current | Accepting new patients |
| App of Tennessee Ed, PLLC | Nurse Practitioner | Current | Accepting new patients |
| DLP Person Urgent Care LLC | Current | Accepting new patients | |
| Cherokee Emergency Services, Inc. | Nurse Practitioner | Current | Accepting new patients |
| Greenbrier Emergency Services, Inc. | Nurse Practitioner | Current | Accepting new patients |
| Southeastern Emergency Physicians LLC | Nurse Practitioner | Current | Accepting new patients |
Locations (25 of 27)
1701 Veterans Dr
Florence, AL 35630
Phone (256) 629-1900
1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325
260 Hospital Dr
Brevard, NC 28712
Phone (828) 883-5286
262 Leroy George Dr
Clyde, NC 28721
Phone (828) 452-8210
615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699
3762 Durham Rd
Ste A
Roxboro, NC 27573
Phone (336) 330-0400
288 S Ridgecrest Ave
Rutherfordton, NC 28139
Phone (252) 808-6000
1135 Carthage St
Sanford, NC 27330
Phone (910) 774-2100
700 US 1 Hwy
Ste 100
Youngsville, NC 27596
Phone (919) 562-2340
700 US 1 Hwy
Youngsville, NC 27596
Phone (919) 562-2340
330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780
111 Highway 70 E
Dickson, TN 37055
Phone (615) 441-2357
9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000
1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244
907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818
391 Wallace Rd
Nashville, TN 37211
Phone (615) 332-6253
185 Hospital Rd
Winchester, TN 37398
Phone (931) 962-4061
2901 4th St
Longview, TX 75605
Phone (281) 371-1800
200 Hospital Dr
Galax, VA 24333
Phone (276) 236-6011
1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046
6801 Governor Gc Peery Hwy
Richlands, VA 24641
Phone (276) 523-8600
500 Hospital Dr
Warrenton, VA 20186
Phone (540) 316-5000
600 W Ridge Rd
Wytheville, VA 24382
Phone (276) 228-0200
124 Brookshire Ln
Beckley, WV 25801
Phone (304) 252-8551
1710 Harper Rd
Beckley, WV 25801
Phone (304) 252-0641
Interoperability endpoints
- jessica.ketner.2@20247.direct.athenahealth.com
Organizations & group practices 14
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.
-
- Family Medicine Physician
- Newport, TN
- NPI 1427005008
NC, Nurse Practitioner, TN, VA
-
- Hospitalist Physician
- Brevard, NC
- NPI 1184669053
NC, Nurse Practitioner
-
- Emergency Medicine Physician
- Gainesville, TX
- NPI 1538101019
Nurse Practitioner, TX
-
- Emergency Medicine Physician
- Maryville, TN
- NPI 1003230236
Nurse Practitioner, TN
-
- Emergency Medicine Physician
- Beckley, WV
- NPI 1982643938
Nurse Practitioner, WV
-
- Nurse Practitioner
- Lawrenceburg, TN
- NPI 1053351593
NC, Nurse Practitioner, VA
-
- Emergency Medicine Physician
- Mobile, AL
- NPI 1013269802
AL, Nurse Practitioner
-
- Emergency Medicine Physician
- Gassaway, WV
- NPI 1568401461
Nurse Practitioner, WV
-
- Hospitalist Physician
- Monroe, GA
- NPI 1760410385
NC, Nurse Practitioner
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Galax, VA
- NPI 1114292141
Hospital
-
- Physical Therapy Clinic/Center
- Galax, VA
- NPI 1801161369
Hospital
-
- Medicare Defined Swing Bed Hospital Unit
- Logan, WV
- NPI 1295789675
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742428800000",
"number": "1306254222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 SEVEN SPRINGS WAY",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370275098",
"telephone_number": "615-920-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3762 DURHAM RD STE A",
"city": "ROXBORO",
"state": "NC",
"postal_code": "275732741",
"telephone_number": "336-330-0400"
}
],
"practiceLocations": [
{
"address_1": "700 US 1 Hwy",
"address_purpose": "LOCATION",
"city": "Youngsville",
"state": "NC",
"postal_code": "275967872",
"country_code": "US",
"telephone_number": "919-562-2340",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KETNER",
"first_name": "JESSICA",
"middle_name": "LEIGH",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-23",
"last_updated": "2025-03-20",
"certification_date": "2025-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WV",
"license": "110623",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "1176855",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "18846",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5015241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roxboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.