Jennifer L. Atkins, PA-C
Individual provider Active NPI Physician Assistant · South Shore, KY
NPI 1649200072 · NPPES record last updated Dec 22, 2020
Key facts
- NPI
- 1649200072
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA454 (KY)
- Practice address
- US 23 at Indianola Avenue
South Shore, KY 41175 - Phone
- (606) 932-3159
- Fax
- (606) 932-6896
- NPI assigned
- Jul 3, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Somc Medical Care Foundation, Inc.
Practice addresses (Care Compare)
207 Plummers LN
Vanceburg, KY 41179-7683
Phone (606) 796-0010
Hospital & facility affiliations
- Somc Home Health Services
- King'S Daughters' Medical Center HHA
- Southern Ohio Medical Center
- King'S Daughters' Medical Center
- Kings Daughters Medical Center Ohio
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.59 of 100
- Quality
- 59.57
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.16
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090114000293 | KY | Practitioner - Physician Assistant | 7911060181 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA454 | KY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Somc Medical Care Foundation, Inc. | Current |
Accepting new patients |
Locations
207 Plummers Ln
Vanceburg, KY 41179
Phone (606) 796-0010
1735 27th St
Ste B06
Portsmouth, OH 45662
Phone (740) 356-7942
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA454 | KY | Yes |
Addresses
Primary practice location
US 23 at Indianola Avenue
South Shore, KY 41175
Mailing address
1735 27TH St Ste B06
Portsmouth, OH 45662-2681
Phone (740) 356-8681
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000598744 | Other | KY | ANTHEM BCBS |
| 000000609840 | Other | KY | ANTHEM BCBS |
| 000000623838 | Other | KY | ANTHEM BCBS |
| 000000223253 | Other | KY | ANTHEM BCBS |
| 95003448 | Medicaid | KY |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jennifer.atkins@somc.medicity.net |
Other providers in South Shore, KY
- Johanna Ailster
- Amber Blanton-McCalvin Chiropractic, Inc.
- Danielle Arthur
- Atomic Family Home Care Agency
- Heidi Barnes
- Bellefonte Physician Services, Inc.
- Amber Beth Blanton-McCalvin
- Hillary Sue Bowling
All providers in South Shore, KY · Physician Assistant in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.