Individual provider Active NPI

Jessica Dolan, APRN

  • Family Nurse Practitioner
  • Frankfort, KY
National Provider Identifier
1467025619
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3016693 Issued in KY
Practice address
302 Brighton Park Blvd
Frankfort, KY 40601-3713
Phone
(502) 875-6390
NPI assigned
Jul 23, 2021
Last updated
Mar 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3016693 KY Primary
Family Nurse Practitioner 363LF0000X 11013751 FL

Addresses

Primary practice location

302 Brighton Park Blvd
Frankfort, KY 40601-3713

Mailing address

PO Box 932958
Cleveland, OH 44193-0028
Phone (502) 848-5904

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, TN, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20211013001205 KY Practitioner - Nurse Practitioner 5395143812 Reassigns benefits to 2 organizations
I20211027000259 TN Practitioner - Nurse Practitioner 5395143812 Reassigns benefits to 1 organization
I20211206001023 FL Practitioner - Nurse Practitioner 5395143812

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kiosk Medicine Kentucky LLCGroup PAC ID 6002887510, 169 clinicians

Practice addresses (Care Compare)

212 Kroger Way
Versailles, KY 40383-1991
Phone (859) 297-1072

302 Brighton Park Blvd S
Frankfort, KY 40601-3713
Phone (502) 848-5904

3039 Breckenridge LN
Louisville, KY 40220-2101
Phone (502) 451-4555

3175 Beaumont Centre Cir
Lexington, KY 40513-1957
Phone (859) 219-5152

Merit-based Incentive Payment System (MIPS)

Final score
83.72 of 100Reported as group
Quality
66.02
Promoting interoperability
100
Improvement activities
40
Cost
79.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11013751FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kiosk Medicine Kentucky LLC Family CurrentSince Aug 15, 2024 Accepting new patients
Signify Health, LLC CurrentSince Oct 28, 2023 Accepting new patients

Locations

1309 US Highway 127 S
Ste H
Frankfort, KY 40601
Phone (502) 875-0127

302 Brighton Park Blvd
Frankfort, KY 40601
Phone (502) 695-0918

3039 Breckenridge Ln
Louisville, KY 40220
Phone (502) 451-4555

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: jessica.dolan@krogerhealth.eclinicaldirectplus.com

Organizations & group practices 3

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": "1626998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1467025619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932958",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930028",
            "telephone_number": "502-848-5904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 BRIGHTON PARK BLVD",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406013713",
            "telephone_number": "502-875-6390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLAN",
        "first_name": "JESSICA",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-23",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3016693",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11013751",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, KY

Sources for this page

Verify at the official NPI Registry.