Jennie Katelyn Nolan, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

4007386 Issued in KY

Practice address

222 W Tennessee Ave
Pineville, KY 40977-1737

Phone

(606) 654-6210

NPI assigned

Aug 8, 2023

Last updated

Oct 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southeast Family Practice PSCGroup PAC ID 0941550149, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DECFBD

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.

• Southeast Family Practice PSC

  • Rural Health Clinic/Center
  • Pineville, KY
  • NPI 1033600416

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Thriveworks Kentucky - Clinical

  dba Thriveworks

  • Mental Health Counselor
  • Bowling Green, KY
  • NPI 1184385841
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1659054534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 W TENNESSEE AVE",
            "city": "PINEVILLE",
            "state": "KY",
            "postal_code": "409771737",
            "telephone_number": "606-654-6210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W TENNESSEE AVE",
            "city": "PINEVILLE",
            "state": "KY",
            "postal_code": "409771737",
            "telephone_number": "606-654-6210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLAN",
        "first_name": "JENNIE",
        "middle_name": "KATELYN",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-08",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "4007386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mountain Comprehensive Health Corporation (Pineville Independent School Based Clinic)
• Mountain Comprehensive Health Corporation (Pineville Medical Clinic)
• Mountain View SNF Operations LLC (Mountain View Rehabilitation and Healthcare Center)
• Carolyn Napier
• Lenn Neal, CEO
• Trampas S Nolan, ARNP
• Brooke Norris, APRN
• Denny Bruce Overton, RPH
• Page Elementary School
• Terry David Pannell, RN

• Psychiatric/Mental Health Nurse Practitioner in Pineville, KY
• Providers in Pineville, KY by specialty
• Psychiatric/Mental Health Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.

Verify at the official NPI Registry.