Individual provider Active NPI

Jackqueline Sue Easler, APRN

  • Family Nurse Practitioner
  • Owensboro, KY
National Provider Identifier
1619489689
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3011859 Issued in KY
Practice address
1200 Breckenridge St
Owensboro, KY 42303-1089
Phone
(270) 685-8224
Fax
(270) 685-8233
NPI assigned
Oct 31, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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 3011859 KY Primary

Addresses

Primary practice location

1200 Breckenridge St
Owensboro, KY 42303-1089

Mailing address

1200 Breckenridge St
Owensboro, KY 42303-1089
Phone (270) 685-8224

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
I20171121001991 KY Practitioner - Nurse Practitioner 4688931975 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Owensboro Medical Practice, PLLCGroup PAC ID 0446157671, 20 clinicians

Practice addresses (Care Compare)

1200 Breckenridge St
Owensboro, KY 42303-1089
Phone (270) 683-8672

Hospital & facility affiliations

  • Owensboro Health Regional Hospital Hospital, Owensboro, KY, CCN 180038

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3011859KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alignmed Partners, PC CurrentSince Oct 26, 2018 Accepting new patients
Owensboro Medical Practice, PLLC Family CurrentSince Mar 15, 2024 Accepting new patients
Brian M Payne Aprn PSC Family PastSince Apr 22, 2002 Accepting new patients
Owensboro Medical Practice, PLLC Family Past Accepting new patients

Locations

1040 US Highway 127 S
Frankfort, KY 40601
Phone (502) 229-1425

4604 Lowe Rd
Louisville, KY 40220
Phone (502) 403-1620

1200 Breckenridge St
Ste 102
Owensboro, KY 42303
Phone (270) 683-8672

1200 Breckenridge St
Ste 202
Owensboro, KY 42303
Phone (270) 685-8224

1200 Breckenridge St
Owensboro, KY 42303
Phone (270) 683-8672

Interoperability endpoints

  • Direct secure messaging: jackqueline.easler.p1@direct.omp.nextgenshare.com

Organizations & group practices 4

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.

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": "1509408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1619489689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 BRECKENRIDGE ST",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031089",
            "telephone_number": "270-685-8224",
            "fax_number": "270-685-8233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 BRECKENRIDGE ST",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031089",
            "telephone_number": "270-685-8224",
            "fax_number": "270-685-8233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASLER",
        "first_name": "JACKQUELINE",
        "middle_name": "SUE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-31",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3011859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.