Active NPI
Jessica L Acker, APRN
- Family Nurse Practitioner
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4011431
- Practice address
- 707 Howard St
Lexington, KY 40508-1075 - Phone
- (859) 288-2425
- Fax
- (859) 288-7510
- NPI assigned
- Jun 22, 2020
- Last updated
- Nov 17, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4011431 | KY | Primary |
| Pediatric Nurse Practitioner | 363LP0200X | 27710 | TN |
Addresses
Primary practice location
707 Howard St
Lexington, KY 40508-1075
Mailing address
496 Southland Dr
Lexington, KY 40503-1827
Phone (859) 288-2425
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4011431 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthfirst Bluegrass Inc | Current | Accepting new patients |
Locations
161 Bruce St
Lexington, KY 40507
Phone (859) 381-3418
496 Southland Dr
Lexington, KY 40503
Phone (859) 288-2392
576 E Third St
Ste 170
Lexington, KY 40508
Phone (859) 402-8945
707 Howard St
Lexington, KY 40508
Phone (859) 381-3263
Interoperability endpoints
- jessica.acker.1@32600.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Federally Qualified Health Center (FQHC)
- Lexington, KY
- NPI 1114932514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700179200000",
"number": "1467078840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "496 SOUTHLAND DR",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405031827",
"telephone_number": "859-288-2425",
"fax_number": "859-288-7510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 HOWARD ST",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405081075",
"telephone_number": "859-288-2425",
"fax_number": "859-288-7510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACKER",
"first_name": "JESSICA",
"middle_name": "L",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-22",
"last_updated": "2023-11-17",
"certification_date": "2023-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "4011431",
"primary": true
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TN",
"license": "27710",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
- Abundant Living Medical Clinic
- Abundant Living Psychological and Coaching Services
- Access Wellness Group
- Accessible Home Health Care of the Bluegrass
- Kishor Acharya, MD
- Robert Acker III
- Austin Ackman, DMD
- Acorn Behavioral Health Services LLC
- Paul Douglas Acra, MSW, LCSW
- Acs I LLC (Club Chiro of Leestown)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.