Jenna Arend
Individual provider Active NPI Family Nurse Practitioner · Mt Washington, KY
NPI 1417429960 · NPPES record last updated Dec 21, 2018
Key facts
- NPI
- 1417429960
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 3012671 (KY)
- Practice address
- 145 Brookeway Dr
Mt Washington, KY 40047-5576 - Phone
- (502) 538-2430
- Fax
- (502) 538-2982
- NPI assigned
- Dec 21, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Baptist Health Medical Group Inc
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 100
- Quality
- 87.32
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- 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 |
|---|---|---|---|---|
| I20190206001152 | KY | Practitioner - Nurse Practitioner | 5799023396 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fast Pace Kentucky PLLC | Family | Current |
Accepting new patients |
| Baptist Health Medical Group Inc | Current |
Accepting new patients | |
| Fast Pace Kentucky, PLLC | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3012671 | KY | Yes |
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
Other providers in Mt Washington, KY
- Kelsey Anderson
- Tonda M. Anderson
- Anesthesia Services of Kentucky
- Angie Arbaugh LLC Dba Salt River Mental Health
- Aptiva Health
- Glenn Timothy Armstrong
- Arrow Dental PLLC
- B&B Pharmacy, PLLC
- Christopher Badamo
- Barger Drug
All providers in Mt Washington, KY · Family Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 21, 2018. 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.