Individual provider Active NPI

Jenna Arend

  • Family Nurse Practitioner
  • Mt Washington, KY
National Provider Identifier
1417429960
Registry record updated Dec 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3012671 Issued in KY
Practice address
145 Brookeway Dr
Mt Washington, KY 40047-5576
Phone
(502) 538-2430
Fax
(502) 538-2982
NPI assigned
Dec 21, 2018
Last updated
Dec 21, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2018

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 3012671 KY Primary

Addresses

Primary practice location

145 Brookeway Dr
Mt Washington, KY 40047-5576

Mailing address

PO Box 1258
Waynesboro, TN 38485-1258
Phone (931) 253-1110

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
I20190206001152 KY Practitioner - Nurse Practitioner 5799023396 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

10216 Taylorsville Rd
Louisville, KY 40299-3617

2232 Holiday Manor Ctr
Louisville, KY 40222-6431
Phone (502) 339-0096

3900 Kresge Way
Louisville, KY 40207-4681

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3012671KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Kentucky PLLC Family CurrentSince Dec 1, 2018 Accepting new patients
Fast Pace Kentucky, PLLC CurrentSince Dec 1, 2018 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Oct 4, 2023 Accepting new patients
Fast Pace Kentucky, PLLC Past Accepting new patients

Locations

96 Future Dr
Corbin, KY 40701

1475 Nashville Rd
Franklin, KY 42134
Phone (270) 813-1111

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

919 N Main St
Madisonville, KY 42431
Phone (270) 228-0592

895 N Main St
Monticello, KY 42633
Phone (606) 396-3006

145 Brookeway Dr
Mt Washington, KY 40047
Phone (502) 538-2430

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.

NPI Registry JSON

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

{
    "created_epoch": "1545350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545350400000",
    "number": "1417429960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1258",
            "city": "WAYNESBORO",
            "state": "TN",
            "postal_code": "384851258",
            "telephone_number": "931-253-1110",
            "fax_number": "931-253-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 BROOKEWAY DR",
            "city": "MT WASHINGTON",
            "state": "KY",
            "postal_code": "400475576",
            "telephone_number": "502-538-2430",
            "fax_number": "502-538-2982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AREND",
        "first_name": "JENNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-21",
        "last_updated": "2018-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3012671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Washington, KY

Sources for this page

Verify at the official NPI Registry.