Jeanie Mae Kent, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Clinton, IN
NPI 1356063705 · NPPES record last updated Nov 2, 2023
Key facts
- NPI
- 1356063705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 71013039A (IN)
- Practice address
- 100 S Main St
Clinton, IN 47842-2437 - Phone
- (765) 505-5200
- NPI assigned
- Sep 13, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 22
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cep America LLC
Practice addresses (Care Compare)
100 S Main St
Clinton, IN 47842-2437
Phone (765) 505-5200
801 S Main St
Clinton, IN 47842-2261
Phone (765) 832-1234
Hospital & facility affiliations
- Union Hospital Inc
- Union Hospital Clinton
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.3 of 100
- Quality
- 70.94
- Improvement activities
- 40
- Cost
- 92.94
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221003002475 | IN | Practitioner - Nurse Practitioner | 3173909827 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71013039A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Willow Oak Medical, LLC | Current |
Accepting new patients | |
| Cep America LLC | Current | Accepting new patients | |
| Cep America LLC | Current |
Accepting new patients | |
| Cep America LLC | Current |
Accepting new patients | |
| Field & Forest Medical, LLC | Past |
Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
100 S Main St
Clinton, IN 47842
Phone (765) 505-5200
801 S Main St
Clinton, IN 47842
Phone (765) 832-1212
1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71013039A | IN | Yes |
Addresses
Primary practice location
100 S Main St
Clinton, IN 47842-2437
Mailing address
1228 W 700 S
Dana, IN 47847-8003
Phone (912) 713-1124
Other providers in Clinton, IN
- Nicole Lee Jeffries
- Sarah Marie Johnson
- Donna Marie Jones
- Roger E Jones
- Alexis Louise Joyner
- Donna Marie Kerns
- Kidney and Hypertension Center of in, PC
- Jennifer Kirchoff
- Heidi Joy Kotva Strickland
- Laboratory Corportation of America Holdings
All providers in Clinton, IN · Family Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.