Individual provider Active NPI

Jessica Elisabeth Ison, MD

  • Family Medicine Physician
  • Mt Sterling, KY
National Provider Identifier
1477949956
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
52585 Issued in KY
Practice address
209 N Maysville St Ste 200
Mount Sterling, KY 40353-1179
Phone
(859) 404-7686
NPI assigned
Apr 10, 2015
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 52585 KY Primary
Obstetrics Physician 207VX0000X 52585 KY

Addresses

Primary practice location

209 N Maysville St Ste 200
Mount Sterling, KY 40353-1179

Mailing address

209 N Maysville St Ste 200
Mount Sterling, KY 40353-1179
Phone (859) 404-7686

Other identifiers 2

IdentifierTypeStateIssuer
14499852OtherCAQH ID NUMBER
52585OtherKYKY LICENSE NUMBER

Other names 1

  • Jessica Elisabeth Wood Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190812002235 KY Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 2466789599 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology
Education
University of Louisville School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sterling Health Solutions IncGroup PAC ID 9436301686, 59 clinicians

Practice addresses (Care Compare)

103 Commonwealth Dr
Mount Sterling, KY 40353-9644
Phone (859) 498-7716

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sterling Health Solutions Inc CurrentSince Apr 7, 2020 Accepting new patients
Sterling Health Solutions, Inc CurrentSince Apr 7, 2020 Accepting new patients
Memorial Hospital, Inc. Current Accepting new patients
Memorial Hospital, Inc. Family Medicine CurrentSince Sep 1, 2019 Accepting new patients

Locations

1033 N Highway 11
Manchester, KY 40962
Phone (606) 598-6163

210 Marie Langdon Dr
Manchester, KY 40962
Phone (865) 985-7047

509 Memorial Dr
Ste 2
Manchester, KY 40962
Phone (606) 598-4384

103 Commonwealth Dr
Mt Sterling, KY 40353
Phone (859) 498-7715

209 N Maysville St
Ste 200
Mt Sterling, KY 40353
Phone (859) 404-4686

633 Maysville Rd
Mt Sterling, KY 40353
Phone (859) 274-4595

44 Water St
Owingsville, KY 40360
Phone (606) 674-9776

Interoperability endpoints

  • Direct secure messaging: jessica.ison.1@25737.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1428624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1477949956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 N MAYSVILLE ST STE 200",
            "city": "MOUNT STERLING",
            "state": "KY",
            "postal_code": "403531179",
            "telephone_number": "859-404-7686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 N MAYSVILLE ST STE 200",
            "city": "MOUNT STERLING",
            "state": "KY",
            "postal_code": "403531179",
            "telephone_number": "859-404-7686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISON",
        "first_name": "JESSICA",
        "middle_name": "ELISABETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-10",
        "last_updated": "2023-03-07",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "52585",
            "primary": true
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "KY",
            "license": "52585",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH ID NUMBER",
            "identifier": "14499852",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY LICENSE NUMBER",
            "identifier": "52585",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "WOOD",
            "middle_name": "ELISABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mt Sterling, KY

Sources for this page

Verify at the official NPI Registry.