Individual provider Active NPI

Jessica Mae Stinson, APRN

  • Nurse Practitioner
  • Glasgow, KY
National Provider Identifier
1477854115
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3006704 Issued in KY
Practice address
1216 N Race St
Glasgow, KY 42141-3462
Phone
(270) 745-7246
Fax
(270) 282-2027
NPI assigned
Nov 11, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3006704 KY
Family Nurse Practitioner 363LF0000X 6704P KY
Nurse Practitioner 363L00000X 3006704 KY Primary

Addresses

Primary practice location

1216 N Race St
Glasgow, KY 42141-3462

Mailing address

PO Box 21890
Belfast, ME 04915-4115
Phone (502) 907-0356

Other identifiers 1

IdentifierTypeStateIssuer
7100149700MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jessica.stinson.1@16521.direct.athenahealth.com Commonwealth Pain Associates, PLLC

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
I20110224000375 KY Practitioner - Nurse Practitioner 1759562788 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Commonwealth Pain Associates PLLCGroup PAC ID 0941441919, 156 clinicians

Practice addresses (Care Compare)

120 Executive Park
Louisville, KY 40207-4201
Phone (502) 855-7200

Hospital & facility affiliations

  • T J Samson Community Hospital Hospital, Glasgow, KY, CCN 180017
  • Monroe County Medical Center Hospital, Tompkinsville, KY, CCN 180105
  • TJ Health Columbia Hospital, Columbia, KY, CCN 180149
  • The Medical Center at Albany Hospital, Albany, KY, CCN 181333

Merit-based Incentive Payment System (MIPS)

Final score
69.66 of 100Reported as group
Quality
39.23
Promoting interoperability
99
Improvement activities
40
Cost
43.79

Merit-based Incentive Payment System (MIPS)

Final score
89.99 of 100Reported as group
Quality
81.97
Promoting interoperability
97
Improvement activities
40
Cost
77.29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3006704KYMDNurse Practitioner
6704PKYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Pain Associates PLLC CurrentSince Jul 1, 2023 Accepting new patients
Commonwealth Pain Associates, PLLC Nurse Practitioner CurrentSince Jul 1, 2023 Accepting new patients
Interventional Pain Specialists of Bowling Green, PLC Nurse Practitioner CurrentSince Apr 3, 2017 Accepting new patients
Interventional Pain Specialists of Bowling Green PLC Nurse Practitioner CurrentSince Apr 3, 2017 Accepting new patients
Commonwealth Health Corp, Inc. Family Past Accepting new patients
Commonwealth Health Corporation, Inc. Past Accepting new patients

Locations

935 Chambers Blvd
Bardstown, KY 40004
Phone (270) 506-3300

165 Natchez Trace Ave
Ste 205
Bowling Green, KY 42103
Phone (270) 282-2024

99 Wellpark Ln
Apt 4
Campbellsville, KY 42718
Phone (606) 260-8613

1112 S Main St
Ste 7
Franklin, KY 42134
Phone (270) 745-7246

1216 N Race St
Glasgow, KY 42141
Phone (270) 651-7246

223 Executive Park
Louisville, KY 40207

120 Executive Park
St Matthews, KY 40207
Phone (502) 409-9925

Interoperability endpoints

  • Direct secure messaging: jessica.stinson.1@16521.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1289433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1477854115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21890",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154115",
            "telephone_number": "502-907-0356",
            "fax_number": "502-919-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 N RACE ST",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421413462",
            "telephone_number": "270-745-7246",
            "fax_number": "270-282-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STINSON",
        "first_name": "JESSICA",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-11",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3006704",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "6704P",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3006704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100149700",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessica.stinson.1@16521.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Commonwealth Pain Associates, PLLC",
            "address_1": "1216 N Race St",
            "city": "Glasgow",
            "state": "KY",
            "country_code": "US",
            "postal_code": "421413462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glasgow, KY

Sources for this page

Verify at the official NPI Registry.