Jessica Wallen, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3016353 Issued in KY

Practice address

466 Burnley Rd
Scottsville, KY 42164-6355

Phone

(270) 618-3700

NPI assigned

May 8, 2020

Last updated

Dec 28, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 2

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Commonwealth Health Corporation, Inc.Group PAC ID 5496667628, 268 clinicians

Bowling Green-Warren County Community Hospital CorporationGroup PAC ID 7719899947, 117 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Medical Center at Scottsville Hospital, Scottsville, KY, CCN 181324
• The Medical Center (Bowling Green) Hospital, Bowling Green, KY, CCN 180013

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Bowling Green-Warren County Community Hospital Corporation

  dba The Medical Center Nutrition Therapy Program

  • Registered Dietitian
  • Bowling Green, KY
  • NPI 1831112507
  Medicare reassignment Care Compare group NPD
• Commonwealth Health Corporation, Inc

  dba Med Center Health Neurology

  • Neurology Physician
  • Bowling Green, KY
  • NPI 1881109304
  Medicare reassignment Care Compare group NPD
• Brock Medical, LLC

  dba First Care Clinics, LLC

  • Nurse Practitioner
  • London, KY
  • NPI 1023379815
  Medicare reassignment NPD
• Fast Pace Kentucky PLLC

  dba Fast Pace Urgent Care

  • Family Nurse Practitioner
  • Franklin, KY
  • NPI 1457716706
  Medicare reassignment NPD
• Bowling Green-Warren County Community Hospital Corporation

  dba Med Center Health Hematology & Oncology Bowling Green

  • Hematology & Oncology Physician
  • Bowling Green, KY
  • NPI 1891652343

  Family

  NPD
• Bowling Green-Warren County Community Hospital Corporation

  dba Med Center Health Primary Care Caverna

  • Rural Health Clinic/Center
  • Horse Cave, KY
  • NPI 1992170112

  Family

  NPD
• Commonwealth Health Corporation, Inc.

  dba Med Center Health Plastic & Reconstructive Surgery

  • Plastic and Reconstructive Surgery Physician
  • Bowling Green, KY
  • NPI 1104470699
  NPD
• Commonwealth Health Corporation, Inc.

  dba Medical Center Urgentcare

  • Family Medicine Physician
  • Bowling Green, KY
  • NPI 1821478975
  NPD
• Fast Pace Kentucky PLLC

  dba Fast Pace Health

  • Rural Health Clinic/Center
  • Corbin, KY
  • NPI 1669256913
  NPD
• Fast Pace Kentucky, PLLC

  dba Fast Pace Health

  • Rural Health Clinic/Center
  • Spindale, NC
  • NPI 1942027891
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bowling Green-Warren County Community Hospital Corporation

  dba The Medical Center

  • General Acute Care Hospital
  • Bowling Green, KY
  • NPI 1043293608
  Care Compare affiliation
• Bowling Green-Warren County Community Hospital Corporation

  dba The Medical Center at Scottsville

  • Critical Access Hospital
  • Scottsville, KY
  • NPI 1710906565
  Care Compare affiliation

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

{
    "created_epoch": "1588896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1427670827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "466 BURNLEY RD",
            "city": "SCOTTSVILLE",
            "state": "KY",
            "postal_code": "421646355",
            "telephone_number": "270-618-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "466 BURNLEY RD",
            "city": "SCOTTSVILLE",
            "state": "KY",
            "postal_code": "421646355",
            "telephone_number": "270-618-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLEN",
        "first_name": "JESSICA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-08",
        "last_updated": "2022-12-28",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3016353",
            "primary": true
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "KY",
            "license": "1137080",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3016353",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "1137080",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "walljn@mchealth.net",
            "affiliation": "N",
            "address_1": "466 Burnley Rd",
            "city": "Scottsville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "421646355",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "walljn@mchealth.net",
            "affiliation": "N",
            "address_1": "466 Burnley Rd",
            "city": "Scottsville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "421646355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Megan Nicole Tucker, PMHNP-BC; MSN
• Amy Verst, APRN
• Dylan Matthew Waldrop, PT, DPT
• Walgreen Co (Walgreens #19765)
• Richey Walker
• Grant Guy Watkins II, D.C.
• Macey Elizabeth Weaver, DNP, FNP-BC
• Catherine Amanda Webb, PHARMD
• Thomas Wells
• Western Kentucky Chiropractic Center PSC

• Family Nurse Practitioner in Scottsville, KY
• Providers in Scottsville, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.