Active NPI
Jessica Brooke Prahl, P.A.-C.
- Physician Assistant
- Elizabethtown, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 1111 Ring Rd
Suite 100
Elizabethtown, KY 42701-4900 - Phone
- (270) 706-5515
- Fax
- (270) 706-5516
- NPI assigned
- Oct 24, 2012
- Last updated
- Sep 19, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
1111 Ring Rd
Suite 100
Elizabethtown, KY 42701-4900
Mailing address
PO Box 2309
Elizabethtown, KY 42702-2309
Phone (270) 706-5515
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100255980 | Medicaid | KY |
Other names 1
- Jessica Brooke Gusler
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Lincoln Memorial University Medical Department, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Cardinal Dr
Elizabethtown, KY 42701-2787
2603 Kentucky Ave
Suite 304
Paducah, KY 42003-3829
Phone (270) 415-4800
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.29 of 100
- Quality
- 87.32
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonwealth Pain Associates PLLC | Current | Accepting new patients | |
| Commonwealth Pain Associates, PLLC | Physician Assistant | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Physician Assistant | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Current | Accepting new patients |
Locations
1111 Ring Rd
Ste 100
Elizabethtown, KY 42701
Phone (270) 706-5515
913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212
223 Executive Park
Louisville, KY 40207
2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800
120 Executive Park
St Matthews, KY 40207
Phone (502) 409-9925
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Paducah, KY
- NPI 1922401611
Physician Assistant
-
dba Commonwealth Pain and Spine
- Interventional Pain Medicine Physician
- Louisville, KY
- NPI 1306280177
Physician Assistant
-
dba Dawson Springs Rural Health Clinic
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
-
dba Commonwealth Pain And Spine
- Durable Medical Equipment & Medical Supplies
- Paducah, KY
- NPI 1114753720
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Health Hardin
- General Acute Care Hospital
- Elizabethtown, KY
- NPI 1689282147
-
dba CommonSpirit Health at Home - Louisville
- Home Health Agency
- Louisville, KY
- NPI 1114279510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474243200000",
"number": "1336492677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2309",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427022309",
"telephone_number": "270-706-5515",
"fax_number": "270-706-5516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 RING RD",
"address_2": "SUITE 100",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427014900",
"telephone_number": "270-706-5515",
"fax_number": "270-706-5516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRAHL",
"first_name": "JESSICA",
"middle_name": "BROOKE",
"name_prefix": "Ms.",
"credential": "P.A.-C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-24",
"last_updated": "2016-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100255980",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "GUSLER",
"middle_name": "BROOKE",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Elizabethtown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; 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.