Individual provider Active NPI

Casey Mae Jensen, APRN

  • Family Nurse Practitioner
  • Shelbyville, KY
National Provider Identifier
1326560087
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3011491 Issued in KY
Practice address
140 Stonecrest Rd Ste 101
Shelbyville, KY 40065-8143
Phone
(502) 928-1060
Fax
(502) 928-1061
NPI assigned
Jul 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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 3011491 KY Primary

Addresses

Primary practice location

140 Stonecrest Rd Ste 101
Shelbyville, KY 40065-8143

Mailing address

2700 Stanley Gault Pkwy Ste 129
Louisville, KY 40223-5176
Phone (502) 253-4900

Other practice location 1

325 W Walnut St Ste 600
Lebanon, KY 40033-1378
Phone (270) 699-9500

Other identifiers 1

IdentifierTypeStateIssuer
7100494020MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cjensen74645@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
I20170814003222 KY Practitioner - Nurse Practitioner 1355613183 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Louisville School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

101 Stonecrest Rd
Suite 1
Shelbyville, KY 40065-8169
Phone (502) 633-2233

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
3011491KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Feb 1, 2021 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Feb 1, 2021 Accepting new patients

Locations

1006 New Moody Ln
#1
La Grange, KY 40031

9070 Dixie Hwy
Ste 6
Louisville, KY 40258
Phone (502) 271-3236

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

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

101 Stonecrest Rd
Ste 2
Shelbyville, KY 40065
Phone (502) 647-0311

101 Stonecrest Rd
Ste 1
Shelbyville, KY 40065
Phone (502) 633-2233

140 Stonecrest Rd
Ste 101
Shelbyville, KY 40065
Phone (502) 633-6411

Organizations & group practices 2

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 4

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": "1499904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1326560087",
    "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": "502-253-4900",
            "fax_number": "502-489-5751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 STONECREST RD STE 101",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400658143",
            "telephone_number": "502-928-1060",
            "fax_number": "502-928-1061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 W Walnut St Ste 600",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "KY",
            "postal_code": "400331378",
            "country_code": "US",
            "telephone_number": "270-699-9500",
            "fax_number": "270-699-9500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "CASEY",
        "middle_name": "MAE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-13",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3011491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100494020",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cjensen74645@bhkydirect.com",
            "affiliation": "N",
            "address_1": "140 Stonecrest Rd Ste 101",
            "city": "Shelbyville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "400658143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shelbyville, KY

Sources for this page

Verify at the official NPI Registry.