Individual provider Active NPI

Jacqueline Jill Braun, APRN

  • Family Nurse Practitioner
  • Owensboro, KY
National Provider Identifier
1487058079
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3008949 Issued in KY
Practice address
1000 Breckenridge St Ste 401
Owensboro, KY 42303-0878
Phone
(270) 688-4401
Fax
(270) 688-4409
NPI assigned
Oct 10, 2014
Last updated
Sep 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3008949 KY Primary

Addresses

Primary practice location

1000 Breckenridge St Ste 401
Owensboro, KY 42303-0878

Mailing address

PO Box 23229
Owensboro, KY 42304-3229
Phone (270) 688-1330

Other practice location 1

2211 Mayfair Dr Ste 102
Owensboro, KY 42301-4569
Phone (270) 688-1351

Other names 1

  • Jacqueline Jill Tuggle Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jbraun48525@direct.owensborohealth.org Owensboro Health Medical Group, Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20141120000376 KY Practitioner - Nurse Practitioner 3577785963 Reassigns benefits to 1 organization
I20151027002200 IN Practitioner - Nurse Practitioner 3577785963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

27 US Hwy 66 E
Tell City, IN 47586-2044
Phone (812) 395-2011

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Owensboro Health Medical Group Inc Current Accepting new patients
Owensboro Health Medical Group, Inc Family CurrentSince Jan 13, 2025 Accepting new patients
Owensboro Health Medical Group, Inc. Family CurrentSince Oct 7, 2014 Accepting new patients

Locations

27 US Highway 66 E
Tell City, IN 47586
Phone (812) 395-2011

421 7th St
Tell City, IN 47586
Phone (812) 547-7448

1000 Breckenridge St
Ste 401
Owensboro, KY 42303
Phone (270) 685-1066

2211 Mayfair Dr
Ste 101
Owensboro, KY 42301
Phone (270) 688-1352

2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351

Interoperability endpoints

  • Direct secure messaging: jacqueline.braun.1@23284.direct.athenahealth.com
  • Direct secure messaging: jacqueline.braun.1@27404.direct.athenahealth.com
  • Direct secure messaging: jbraun48525@direct.owensborohealth.org

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.

Hospital & facility affiliations 1

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": "1412899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1487058079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23229",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423043229",
            "telephone_number": "270-688-1330",
            "fax_number": "270-688-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BRECKENRIDGE ST STE 401",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423030878",
            "telephone_number": "270-688-4401",
            "fax_number": "270-688-4409"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2211 Mayfair Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423014569",
            "country_code": "US",
            "telephone_number": "270-688-1351",
            "fax_number": "270-683-3420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAUN",
        "first_name": "JACQUELINE",
        "middle_name": "JILL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-10",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3008949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbraun48525@direct.owensborohealth.org",
            "affiliation": "Y",
            "affiliationName": "Owensboro Health Medical Group, Inc",
            "address_1": "1000 Breckenridge St Ste 401",
            "city": "Owensboro",
            "state": "KY",
            "country_code": "US",
            "postal_code": "423030878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "TUGGLE",
            "middle_name": "JILL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.