Individual provider Active NPI

Juawanna L Schuller, ARNP

  • Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1528036100
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3002500 Issued in KY
Practice address
4071 Tates Creek Centre Dr
Suite 100
Lexington, KY 40517-3062
Phone
(859) 273-3888
Fax
(859) 272-3256
NPI assigned
Mar 9, 2006
Last updated
Dec 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3002500 KY Primary

Addresses

Primary practice location

4071 Tates Creek Centre Dr
Suite 100
Lexington, KY 40517-3062

Mailing address

230 Lexington Green Cir
Ste 600
Lexington, KY 40503-3326
Phone (859) 971-4695

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jschuller4830@bhkydirect.com

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
I20060301000186 KY Practitioner - Nurse Practitioner 0547276560 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Champion Physical Therapy Kentucky, LLCGroup PAC ID 3476818519, shared by 3 NPIs, 43 clinicians
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

2835 S Hwy 27
Suite 286B
Somerset, KY 42501-3062
Phone (606) 302-2831

3900 Kresge Way
Suite 56
Louisville, KY 40207-4683
Phone (502) 895-7265

4071 Tates Creek Centre Dr
Suite 100
Lexington, KY 40517-3062
Phone (859) 273-3888

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2500KYMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc Nurse Practitioner CurrentSince Jul 7, 2016 Accepting new patients
Baptist Health Medical Group Inc Nurse Practitioner CurrentSince Jan 1, 2015 Accepting new patients
Family Care Associates, PSC CurrentSince Jul 1, 1997 Accepting new patients
Madison Primary Care, LLC Past Accepting new patients
Baptist Health Medical Group Inc Nurse Practitioner Past Accepting new patients

Locations

60 S Stewart Rd
Corbin, KY 40701
Phone (606) 258-8888

1210 KY Highway 36 E
Ste 2C
Cynthiana, KY 41031
Phone (859) 234-6000

1120 W Shelby St
#A
Falmouth, KY 41040
Phone (859) 654-6966

1099 Duval St
Ste 100
Lexington, KY 40515
Phone (859) 273-3888

4071 Tates Creek Centre Dr
Ste 100
Lexington, KY 40517
Phone (859) 273-3888

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

2700 Stanley Gault Pkwy
Ste 129
Louisville, KY 40223
Phone (502) 253-4900

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

3900 Kresge Way
Ste 56
Louisville, KY 40207
Phone (502) 895-7265

Interoperability endpoints

  • Direct secure messaging: jschuller4830@bhkydirect.com

Organizations & group practices 6

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 4

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1528036100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 LEXINGTON GREEN CIR",
            "address_2": "STE 600",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033326",
            "telephone_number": "859-971-4695",
            "fax_number": "859-971-4604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4071 TATES CREEK CENTRE DR",
            "address_2": "SUITE 100",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405173062",
            "telephone_number": "859-273-3888",
            "fax_number": "859-272-3256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULLER",
        "first_name": "JUAWANNA",
        "middle_name": "L",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3002500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jschuller4830@bhkydirect.com",
            "affiliation": "N",
            "address_1": "4071 Tates Creek Centre Dr",
            "address_2": "Suite 100",
            "city": "Lexington",
            "state": "KY",
            "country_code": "US",
            "postal_code": "405173062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.