Jacqueline Jill Braun, APRN
Individual provider Active NPI Family Nurse Practitioner · Owensboro, KY
NPI 1487058079 · NPPES record last updated Sep 16, 2022
Key facts
- NPI
- 1487058079
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 3008949 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Owensboro Health Medical Group Inc
Practice addresses (Care Compare)
27 US Hwy 66 E
Tell City, IN 47586-2044
Phone (812) 395-2011
Hospital & facility affiliations
- Owensboro Health Regional Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KY, IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141120000376 | KY | Practitioner - Nurse Practitioner | 3577785963 | Reassigns benefits to 1 organization |
| I20151027002200 | IN | Practitioner - Nurse Practitioner | 3577785963 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3008949 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Owensboro Health Medical Group, Inc. | Family | Current |
Accepting new patients |
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| Owensboro Health Medical Group, Inc | Family | Current |
Accepting new patients |
Locations
421 7th St
Tell City, IN 47586
Phone (812) 547-7448
27 US Highway 66 E
Tell City, IN 47586
Phone (812) 395-2011
2211 Mayfair Dr
Ste 101
Owensboro, KY 42301
Phone (270) 688-1352
1000 Breckenridge St
Ste 401
Owensboro, KY 42303
Phone (270) 685-1066
2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351
Interoperability endpoints
- jbraun48525@direct.owensborohealth.org
- jacqueline.braun.1@27404.direct.athenahealth.com
- jacqueline.braun.1@23284.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3008949 | KY | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201267100 | Medicaid | IN | |
| 7100325900 | Medicaid | KY |
Other names
- Jacqueline Jill Tuggle
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jbraun48525@direct.owensborohealth.org | Owensboro Health Medical Group, Inc |
Other providers in Owensboro, KY
- Meg Anne Bratcher
- Walter E Bratcher Sr.
- Kelly Shawn Brauer
- Clare A Braun Hashemi
- Carol Jean Braun
- Jennifer Erin Brenner
- Lori J Bretschneider
- Brett C Davis MD PLLC
- Kristi Lynn Brewer
- Taylor Gaddis Brewer
All providers in Owensboro, KY · Family Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.