Individual provider Active NPI

Jessica Leigh Ketner, FNP

  • Nurse Practitioner
  • Roxboro, NC
National Provider Identifier
1306254222
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5015241 Issued in NC
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

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, TX6 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 6

Enrollment IDStateProvider typePAC IDDetails
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 LLCGroup PAC ID 3072412592, 761 clinicians
Health Care Alliance, Inc.Group PAC ID 5799689105, 9 clinicians
Southeastern Intensivist Services PCGroup PAC ID 9335152107, 234 clinicians

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 Hospital, Galax, VA, CCN 490115
  • Logan Regional Medical Center Hospital, Logan, WV, CCN 510048
  • Wilson Medical Center Hospital, Wilson, NC, CCN 340126
  • Raleigh General Hospital Hospital, Beckley, WV, CCN 510070

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5015241NCMDNurse Practitioner
1176855TXMDNurse Practitioner
110623WVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health Care Alliance, Inc. CurrentSince Nov 1, 2021 Accepting new patients
DLP Person Urgent Care LLC CurrentSince Jan 11, 2022 Accepting new patients
Southeastern Intensivist Services PC CurrentSince Jan 1, 2025 Accepting new patients
Acs Primary Care Physicians Southwest, PA Nurse Practitioner CurrentSince Jan 16, 2025 Accepting new patients
Emergency Services of Mobile PC Nurse Practitioner CurrentSince Jan 5, 2024 Accepting new patients
Emergency Coverage Services, PC Nurse Practitioner CurrentSince Aug 4, 2021 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation Nurse Practitioner CurrentSince Jan 1, 2025 Accepting new patients
Southeastern Medical Group, PC Nurse Practitioner CurrentSince Jan 30, 2025 Accepting new patients
Emergency Coverage, LLC Nurse Practitioner CurrentSince Sep 1, 2023 Accepting new patients
App of Tennessee Ed, PLLC Nurse Practitioner CurrentSince Oct 28, 2017 Accepting new patients
DLP Person Urgent Care LLC CurrentSince Jan 11, 2022 Accepting new patients
Cherokee Emergency Services, Inc. Nurse Practitioner CurrentSince Nov 1, 2021 Accepting new patients
Greenbrier Emergency Services, Inc. Nurse Practitioner CurrentSince Apr 21, 2024 Accepting new patients
Southeastern Emergency Physicians LLC Nurse Practitioner CurrentSince Apr 1, 2022 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

  • Direct secure messaging: 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.

View all 14

Hospital & facility affiliations 7

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": "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

Verify at the official NPI Registry.