Individual provider Active NPI

Jennifer Ann Knight, FNP

  • Family Nurse Practitioner
  • Owensboro, KY
National Provider Identifier
1396490934
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3016676 Issued in KY
Practice address
3032 Alvey Park Dr W Ste 2
Owensboro, KY 42303-2191
Phone
(270) 302-6520
Fax
(270) 901-3369
NPI assigned
Feb 11, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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 3016676 KY Primary

Addresses

Primary practice location

3032 Alvey Park Dr W Ste 2
Owensboro, KY 42303-2191

Mailing address

3032 Alvey Park Dr W Ste 2
Owensboro, KY 42303-2191
Phone (270) 302-6520

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
I20221019001851 KY Practitioner - Nurse Practitioner 1658747449 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
Telehealth
Offers telehealth services
Group practices
Coffman Family Care and Wellness, PLLCGroup PAC ID 1759751456, 4 clinicians

Practice addresses (Care Compare)

1221 N Main St
Beaver Dam, KY 42320-8955
Phone (270) 256-5911

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3016676KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coffman Family Care and Wellness PLLC CurrentSince Jul 1, 2024 Accepting new patients
Brian M Payne Aprn PSC Family CurrentSince Jun 1, 2022 Accepting new patients

Locations

1221 N Main St
Beaver Dam, KY 42320
Phone (270) 256-5911

1102 Triplett St
Ste 2200
Owensboro, KY 42303
Phone (270) 685-2979

722 W Byers Ave
Owensboro, KY 42303
Phone (270) 478-5040

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1644537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1396490934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3032 ALVEY PARK DR W STE 2",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423032191",
            "telephone_number": "270-302-6520",
            "fax_number": "270-901-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3032 ALVEY PARK DR W STE 2",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423032191",
            "telephone_number": "270-302-6520",
            "fax_number": "270-901-3369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-11",
        "last_updated": "2023-11-06",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3016676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.