Individual provider Active NPI

Jan K Bickett, NP

  • Nurse Practitioner
  • Hartford, KY
National Provider Identifier
1417489592
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
28234863A Issued in IN
Practice address
1215 Old Main St
Hartford, KY 42347-1619
Phone
(270) 730-5344
NPI assigned
Mar 29, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 28234863A IN Primary

Addresses

Primary practice location

1215 Old Main St
Hartford, KY 42347-1619

Mailing address

PO Box 148
Hartford, KY 42347-0148
Phone (270) 504-1940

Other practice location 1

920 S Hebron Ave
Evansville, IN 47714-4086
Phone (812) 473-1111

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
I20171024002098 KY Practitioner - Nurse Practitioner 0547536286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohio County Hospital CorporationGroup PAC ID 3577477264, 84 clinicians

Practice addresses (Care Compare)

1211 Old Main St
Hartford, KY 42347-1619
Phone (270) 298-3806

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28234863AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio County Hospital Corporation CurrentSince Sep 6, 2017 Accepting new patients
Ohio County Hospital Corporation Current Accepting new patients
Ohio County Hospital Corporation CurrentSince Sep 6, 2017 Accepting new patients
Ohio County Hospital Corporation Current Accepting new patients
Ohio County Hospital Corporation Past Accepting new patients

Locations

1211 Old Main St
Hartford, KY 42347
Phone (270) 298-3806

1215 Old Main St
Hartford, KY 42347
Phone (270) 298-5401

20 E McMurtry Ave
Hartford, KY 42347
Phone (270) 504-1300

Organizations & group practices 5

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": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1417489592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 148",
            "city": "HARTFORD",
            "state": "KY",
            "postal_code": "423470148",
            "telephone_number": "270-504-1940",
            "fax_number": "270-298-3824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 OLD MAIN ST",
            "city": "HARTFORD",
            "state": "KY",
            "postal_code": "423471619",
            "telephone_number": "270-730-5344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "920 S Hebron Ave",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477144086",
            "country_code": "US",
            "telephone_number": "812-473-1111",
            "fax_number": "812-473-0911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BICKETT",
        "first_name": "JAN",
        "middle_name": "K",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-29",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "28234863A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, KY

Sources for this page

Verify at the official NPI Registry.