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Individual provider Active NPI

Jessica Ann Skaggs, APRN

  • Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1366195190
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3016741 Issued in KY
Practice address
529 S Jackson St FL 3
Louisville, KY 40202-3229
Phone
(502) 561-7220
Fax
(502) 588-9529
NPI assigned
Feb 1, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X 3016741 KY Primary

Addresses

Primary practice location

529 S Jackson St FL 3
Louisville, KY 40202-3229

Mailing address

PO Box 909
Louisville, KY 40201-0909

Other practice location 1

2401 Terra Crossing Blvd Ste 408&409
Louisville, KY 40245-5395
Phone (502) 561-7220 ext. 14

Other names 1

  • Jessica Ann Sauer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220321001175 KY Practitioner - Nurse Practitioner 1850786377 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

529 S Jackson St
Louisville, KY 40202-1671
Phone (502) 562-4360

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.96 of 100Reported as group
Quality
56.12
Promoting interoperability
100
Improvement activities
40
Cost
73.73

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians Inc. Single Specialty CurrentSince Mar 8, 2022 Accepting new patients
University of Louisville Physicians, Inc. Single Specialty CurrentSince Mar 8, 2022 Accepting new patients
University of Louisville Physicians, Inc. Single Specialty Current Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

2401 Terra Crossing Blvd
Ste 408409
Louisville, KY 40245
Phone 5025617220 ext. 14

529 S Jackson St
Louisville, KY 40202
Phone (502) 562-4370

529 S Jackson St
Fl 3
Louisville, KY 40202
Phone (502) 561-7220

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

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.

Hospital & facility affiliations 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1366195190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402010909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 S JACKSON ST FL 3",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402023229",
            "telephone_number": "502-561-7220",
            "fax_number": "502-588-9529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 Terra Crossing Blvd Ste 408&409",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402455395",
            "country_code": "US",
            "telephone_number": "502-561-7220 x14",
            "fax_number": "502-588-9529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKAGGS",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3016741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "SAUER",
            "middle_name": "ANN",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.