Individual provider Active NPI

Jodi Lynn Carney, FNP-C

  • Family Nurse Practitioner
  • Campbellsville, KY
National Provider Identifier
1508245960
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3009322 Issued in KY
Practice address
99 Wellpark LN Apt 4
Campbellsville, KY 42718-4919
Phone
(606) 260-8613
Fax
(859) 977-2683
NPI assigned
May 19, 2015
Last updated
Sep 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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 3009322 KY Primary

Addresses

Primary practice location

99 Wellpark LN Apt 4
Campbellsville, KY 42718-4919

Mailing address

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

Other practice location 1

935 Chambers Blvd
Bardstown, KY 40004-2575
Phone (270) 506-3300

Other practice location 2

101 Prosperous Pl Ste 300
Lexington, KY 40509-1836
Phone (859) 275-5229

Other practice location 3

111 Towne Dr
Elizabethtown, KY 42701-8460
Phone (270) 765-3488

Other practice location 4

1107 Crown Pointe Dr Ste 107
Elizabethtown, KY 42701-7280
Phone (270) 506-3300

Other practice location 5

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

Other identifiers 9

IdentifierTypeStateIssuer
000001238545OtherANTHEM PIN
1795296OtherKYWELLCARE OF KY PROVIDER ID NUMBER
6339064OtherAETNA PROVIDER ID
6996270OtherUNITED HEALTHCARE PROVIDER ID NUMBER
CS1923400296OtherCARESOURCE PROVIDER ID NUMBER
00202826OtherSIHO PROVIDER ID NUMBER
300022004MedicaidIN
7100348570MedicaidKY
336358KYIPOtherKYAETNA BETTER HEALTH OF KY PROVIDER ID NUMBER

Other names 1

  • Jodi Lynn Gaw Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jodi.carney.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
I20150609001788 KY Practitioner - Nurse Practitioner 7113248683 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
Commonwealth Pain Associates PLLCGroup PAC ID 0941441919, 156 clinicians
PT Pros, IncGroup PAC ID 0143139337, shared by 14 NPIs, 263 clinicians

Practice addresses (Care Compare)

1107 Crown Pointe Dr
Suite 107
Elizabethtown, KY 42701-7280
Phone (270) 506-3300

792 Campbellsville Rd
Greensburg, KY 42743-1460
Phone (270) 973-5400

Hospital & facility affiliations

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

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Pain Associates PLLC CurrentSince Mar 4, 2019 Accepting new patients
Commonwealth Pain Associates, PLLC Family CurrentSince Mar 4, 2019 Accepting new patients

Locations

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

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

320 Thomas More Pkwy
Ste 202
Crestview Hills, KY 41017
Phone (513) 624-7246

101 Prosperous Pl
Ste 300
Lexington, KY 40509
Phone (859) 271-3114

223 Executive Park
Louisville, KY 40207

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

Organizations & group practices 2

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": "1431993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1508245960",
    "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": "99 WELLPARK LN APT 4",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427184919",
            "telephone_number": "606-260-8613",
            "fax_number": "859-977-2683"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "935 Chambers Blvd",
            "address_purpose": "LOCATION",
            "city": "Bardstown",
            "state": "KY",
            "postal_code": "400042575",
            "country_code": "US",
            "telephone_number": "270-506-3300",
            "fax_number": "270-506-2843",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Prosperous Pl Ste 300",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405091836",
            "country_code": "US",
            "telephone_number": "859-275-5229",
            "fax_number": "859-977-2683",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Towne Dr",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "KY",
            "postal_code": "427018460",
            "country_code": "US",
            "telephone_number": "270-765-3488",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1107 Crown Pointe Dr Ste 107",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "KY",
            "postal_code": "427017280",
            "country_code": "US",
            "telephone_number": "270-506-3300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Executive Park",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402074201",
            "country_code": "US",
            "telephone_number": "502-855-7200",
            "fax_number": "502-855-7201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARNEY",
        "first_name": "JODI",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-19",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3009322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000001238545",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE OF KY PROVIDER ID NUMBER",
            "identifier": "1795296",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER ID",
            "identifier": "6339064",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE PROVIDER ID NUMBER",
            "identifier": "6996270",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE PROVIDER ID NUMBER",
            "identifier": "CS1923400296",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIHO PROVIDER ID NUMBER",
            "identifier": "00202826",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300022004",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100348570",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA BETTER HEALTH OF KY PROVIDER ID NUMBER",
            "identifier": "336358KYIP",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jodi.carney.1@16521.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Commonwealth Pain Associates, PLLC",
            "address_1": "1107 Crown Pointe Dr Ste 107",
            "city": "Elizabethtown",
            "state": "KY",
            "country_code": "US",
            "postal_code": "427017280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JODI",
            "last_name": "GAW",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Campbellsville, KY

Sources for this page

Verify at the official NPI Registry.