Active NPI
Jennifer Ann Thomas, ARNP
- Adult Health Clinical Nurse Specialist
- Paducah, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Clinical Nurse Specialist
- License
- 3005114
- Practice address
- 225 Medical Center Dr
Ste 307
Paducah, KY 42003-7914 - Phone
- (270) 441-4700
- Fax
- (270) 441-4707
- NPI assigned
- Aug 20, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | TR42751 | KY | |
| Adult Health Clinical Nurse Specialist | 364SA2200X | 3005114 | KY | Primary |
Addresses
Primary practice location
225 Medical Center Dr
Ste 307
Paducah, KY 42003-7914
Mailing address
225 Medical Center Drive
Ste 307
Paducah, KY 42003
Phone (270) 441-4700
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3928 | Other | MEDICARE GROUP | |
| 0392813 | Other | KY | GROUP PTAN |
| 3928 | Other | KY | MEDICARE GROUP |
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
- Certified Clinical Nurse Specialist (CNS)
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2605 Kentucky Ave
Suite 202
Paducah, KY 42003-3801
Phone (270) 441-4700
Hospital & facility affiliations
- Baptist Health Paducah
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
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TR42751 | KY | MD | Nurse Practitioner |
| 3005114 | KY | MD | Adult Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Nurse Practitioner | Current | Accepting new patients |
Locations
2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800
2605 Kentucky Ave
Ste 202
Paducah, KY 42003
Phone (270) 415-4690
225 Medical Center Dr
Ste 307
Paducah, KY 42003
Phone (270) 441-4700
Interoperability endpoints
- jthomas9035@bhkydirect.com
Organizations & group practices 3
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
- Paducah, KY
- NPI 1922401611
Nurse Practitioner
-
- Rural Health Clinic/Center
- Powderly, KY
- NPI 1598966269
-
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Paducah, KY
- NPI 1730264128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438300800000",
"number": "1346355450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 MEDICAL CENTER DRIVE",
"address_2": "STE 307",
"city": "PADUCAH",
"state": "KY",
"postal_code": "42003",
"telephone_number": "270-441-4700",
"fax_number": "270-441-4707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 MEDICAL CENTER DR",
"address_2": "STE 307",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420037914",
"telephone_number": "270-441-4700",
"fax_number": "270-441-4707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "JENNIFER",
"middle_name": "ANN",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-20",
"last_updated": "2015-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "TR42751",
"primary": false
},
{
"code": "364SA2200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Adult Health",
"state": "KY",
"license": "3005114",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "3928",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP PTAN",
"identifier": "0392813",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "3928",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2015; 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.