NPIMap

Individual provider Active NPI

Jessica Dennison, MD

  • Emergency Medicine Physician
  • Danville, KY
National Provider Identifier
1437209194
Registry record updated Nov 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
R1148 Issued in KY
Practice address
217 S 3Rd St
Danville, KY 40422-1823
Phone
(859) 335-9041
Fax
(859) 335-9072
NPI assigned
Jan 12, 2007
Last updated
Nov 18, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X R1148 KY Primary
Family Medicine Physician 207Q00000X 01064768A IN

Addresses

Primary practice location

217 S 3Rd St
Danville, KY 40422-1823

Mailing address

PO Box 1650
Akron, OH 44309-1650
Phone (330) 864-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070719000002 KY Practitioner - Emergency Medicine 0345341517 Reassigns benefits to 1 organization
I20080409000200 IN Practitioner - Emergency MedicinePractitioner - Family Practice 0345341517 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
78.96 of 100Reported as group
Quality
56.12
Promoting interoperability
100
Improvement activities
40
Cost
73.73

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R1148KYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. CurrentSince Oct 1, 2012 Accepting new patients
University of Louisville Physicians, Inc. Family Medicine Current Accepting new patients
Lifespring, Inc CurrentSince Oct 14, 2017 Accepting new patients
Lifespring, Inc CurrentSince Oct 14, 2017 Accepting new patients
University of Louisville Physicians, Inc. Emergency Medicine CurrentSince Oct 1, 2012 Accepting new patients
Emergency Medicine Physicians Associates PC Emergency Medicine CurrentSince Feb 1, 2019 Accepting new patients
Physicians in Emergency Medicine PSC Emergency Medicine Past Accepting new patients
University Emergency Medicine Associates P.S.C. Emergency Medicine Past Accepting new patients
Marshall Emergency Services Associates, PLLC Emergency Medicine Past Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

1036 Sharon Dr
Jeffersonvlle, IN 47130
Phone (812) 258-9281

1220 Missouri Ave
Jeffersonvlle, IN 47130
Phone (812) 282-2072

460 Spring St
Jeffersonvlle, IN 47130
Phone (812) 280-3583

530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

1903 W Hebron Ln
Shepherdsvlle, KY 40165
Phone (502) 587-4421

Organizations & group practices 9

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": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479427200000",
    "number": "1437209194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1650",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443091650",
            "telephone_number": "330-864-8900",
            "fax_number": "330-869-8924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 S 3RD ST",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404221823",
            "telephone_number": "859-335-9041",
            "fax_number": "859-335-9072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNISON",
        "first_name": "JESSICA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2016-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "R1148",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01064768A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, KY

Sources for this page

Verify at the official NPI Registry.