Active NPI
Jennifer Millard, PA
- Physician Assistant
- Lexington, KY
National Provider Identifier
1578071874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 800 Rose St FL 1
Lexington, KY 40536-7001 - Phone
- (859) 562-1085
- Fax
- (859) 257-5152
- NPI assigned
- Jan 21, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | TC073 | KY | |
| Registered Dietitian | 133V00000X | 86044806 | CO | |
| Medical Physician Assistant | 363AM0700X | TC073 | KY | |
| Physician Assistant | 363A00000X | KY | Primary |
Addresses
Primary practice location
800 Rose St FL 1
Lexington, KY 40536-7001
Mailing address
4019 Ballard Woods Dr
Smithfield, KY 40068-9324
Phone (720) 346-3070
Other names 1
- Jennifer Engler
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
115 Waller Ave
Suite 209
Lexington, KY 40503-1035
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86044806 | CO | MD | Registered Dietitian |
| TC073 | KY | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Kentucky | Current | Accepting new patients |
Locations
800 Rose St
Fl 1
Lexington, KY 40536
Phone (859) 323-6542
800 Rose St
Lexington, KY 40536
Phone (859) 257-8562
1000 S Limestone
Lexington, KY 40506
Phone (859) 323-5901
Organizations & group practices 1
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.
-
- Diagnostic Radiology Physician
- Lexington, KY
- NPI 1770771974
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762300800000",
"number": "1578071874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4019 BALLARD WOODS DR",
"city": "SMITHFIELD",
"state": "KY",
"postal_code": "400689324",
"telephone_number": "720-346-3070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 ROSE ST FL 1",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405367001",
"telephone_number": "859-562-1085",
"fax_number": "859-257-5152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLARD",
"first_name": "JENNIFER",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-21",
"last_updated": "2025-11-05",
"certification_date": "2025-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "KY",
"license": "TC073",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CO",
"license": "86044806",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "KY",
"license": "TC073",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "ENGLER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; 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.