Jacquelyn Linda Pegram, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3010709 Issued in KY

Practice address

3581 Harrodsburg Rd Ste 125
Lexington, KY 40513-1140

Phone

(859) 313-6200

Fax

(859) 447-8936

NPI assigned

Oct 20, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jacquelyn Linda Jorgensen Former name

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Health Help IncorporatedGroup PAC ID 8224946561, shared by 8 NPIs, 43 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• CHI Saint Joseph Berea NF Hospital, Berea, KY, CCN 181329

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jacquelynpegram@kysjhspe.allscriptsdirect.net

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.

• Health Help Incorporated

  • Federally Qualified Health Center (FQHC)
  • MC Kee, KY
  • NPI 1770569113
  Medicare reassignment NPD
• Health Help Incorporated

  • Federally Qualified Health Center (FQHC)
  • Berea, KY
  • NPI 1023094695
  NPD
• Health Help Incorporated

  • Federally Qualified Health Center (FQHC)
  • Berea, KY
  • NPI 1023814225
  NPD
• Health Help Incorporated

  • Federally Qualified Health Center (FQHC)
  • Irvine, KY
  • NPI 1427283647
  NPD
• Health Help Incorporated

  • Federally Qualified Health Center (FQHC)
  • Mount Vernon, KY
  • NPI 1437407723
  NPD
• Health Help Incorporated

  • Federally Qualified Health Center (FQHC)
  • Lancaster, KY
  • NPI 1588187504
  NPD
• Health Help Incorporated

  • Federally Qualified Health Center (FQHC)
  • Richmond, KY
  • NPI 1659358398
  NPD
• Health Help Incorporated

  • Federally Qualified Health Center (FQHC)
  • Berea, KY
  • NPI 1861477630
  NPD
• Minuteclinic Diagnostic of Kentucky LLC

  • Family Nurse Practitioner
  • Louisville, KY
  • NPI 1578891057
  NPD
• Neurosurgical Associates PSC

  • Neurological Surgery Physician
  • Lexington, KY
  • NPI 1235110925
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Saint Joseph Health System, Inc

  • General Acute Care Hospital
  • Lexington, KY
  • NPI 1437150984
  Care Compare affiliation
• Saint Joseph Health System, Inc

  • Critical Access Hospital
  • Berea, KY
  • NPI 1740488386
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1497206783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407430936",
            "fax_number": "606-330-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3581 HARRODSBURG RD STE 125",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131140",
            "telephone_number": "859-313-6200",
            "fax_number": "859-447-8936"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "480 Bullion Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "KY",
            "postal_code": "403912933",
            "country_code": "US",
            "telephone_number": "859-385-4758",
            "fax_number": "859-385-4758",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "535 Wellington Way Ste 330",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405031331",
            "country_code": "US",
            "telephone_number": "859-439-0400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "881 Corporate Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405032748",
            "country_code": "US",
            "telephone_number": "859-439-0400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEGRAM",
        "first_name": "JACQUELYN",
        "middle_name": "LINDA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-20",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3010709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELYN",
            "last_name": "JORGENSEN",
            "middle_name": "LINDA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Douglas S Peebles, DDS
• Wilma J Peeples, LCSW LMFT
• Joyce Peet, OT
• Megan Michelle Peffer, PHARMD
• Rebecca Peffley, RBT
• Keng Hee Peh, PHARMD
• Esra Pehlivan, MD
• Erick Pelaez, PHARMD
• Magnie Pelagie
• Sarah Rae Pelczynski-Kunda, MS, BCBA, LBA

• Family Nurse Practitioner in Lexington, KY
• Providers in Lexington, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.