Individual provider Active NPI

Jessica Alexandra Riley, APRN

  • Family Nurse Practitioner
  • Corbin, KY
National Provider Identifier
1386250629
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3014810 Issued in KY
Practice address
1498 W Cumberland Gap Pkwy
Corbin, KY 40701-5902
Phone
(606) 280-7875
NPI assigned
Sep 22, 2020
Last updated
Jul 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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 3014810 KY Primary

Addresses

Primary practice location

1498 W Cumberland Gap Pkwy
Corbin, KY 40701-5902

Mailing address

1498 W Cumberland Gap Pkwy
Corbin, KY 40701-5902
Phone (606) 280-7875

Other practice location 1

920 Barnes Mill Rd Ste A
Richmond, KY 40475-3539
Phone (859) 544-1068

Other identifiers 1

IdentifierTypeStateIssuer
7100291160MedicaidKY

Other names 1

  • Jessica Alexandra Hicks Former name

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
I20230324001656 KY Practitioner - Nurse Practitioner 9234518820 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Commonwealth Pain Associates PLLCGroup PAC ID 0941441919, 156 clinicians

Practice addresses (Care Compare)

1107 Crown Pointe Dr
Suite 107
Elizabethtown, KY 42701-7280
Phone (270) 506-3300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.99 of 100Reported as group
Quality
81.97
Promoting interoperability
97
Improvement activities
40
Cost
77.29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Pain Associates PLLC CurrentSince May 1, 2023 Accepting new patients
Commonwealth Pain Associates, PLLC Family CurrentSince May 1, 2023 Accepting new patients
Atlas Pain and Spine PLLC Family CurrentSince Jul 14, 2025 Accepting new patients
Atlas Pain and Spine PLLC CurrentSince Jul 14, 2025 Accepting new patients

Locations

21025 N 8th Way
Ste 110
Phoenix, AZ 85024

7145 E Virginia St
Ste 5000
Evansville, IN 47715
Phone (812) 476-6163

935 Chambers Blvd
Bardstown, KY 40004
Phone (270) 506-3300

1040 Cumberland Falls Hwy
#B
Corbin, KY 40701
Phone (606) 280-7875

1498 W Cumberland Gap Pkwy
Corbin, KY 40701
Phone (606) 280-7578

101 Prosperous Pl
Ste 300
Lexington, KY 40509
Phone (859) 271-3114

920 Barnes Mill Rd
Ste A
Richmond, KY 40475
Phone (859) 544-1068

120 Executive Park
St Matthews, KY 40207
Phone (502) 409-9925

Interoperability endpoints

  • Direct secure messaging: jessica.riley.1@22646.direct.athenahealth.com

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.

Hospital & facility affiliations 2

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": "1600732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1386250629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1498 W CUMBERLAND GAP PKWY",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407015902",
            "telephone_number": "606-280-7875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1498 W CUMBERLAND GAP PKWY",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407015902",
            "telephone_number": "606-280-7875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "920 Barnes Mill Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "KY",
            "postal_code": "404753539",
            "country_code": "US",
            "telephone_number": "859-544-1068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RILEY",
        "first_name": "JESSICA",
        "middle_name": "ALEXANDRA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-22",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3014810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100291160",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "HICKS",
            "middle_name": "ALEXANDRA",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Corbin, KY

Sources for this page

Verify at the official NPI Registry.