Individual provider Active NPI

Jessica Renea McKinney, APRN

  • Family Nurse Practitioner
  • Monticello, KY
National Provider Identifier
1669015103
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3013858 Issued in KY
Practice address
166 Hospital St
Monticello, KY 42633-2430
Phone
(606) 340-3251
Fax
(606) 348-0618
NPI assigned
Oct 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

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 3013858 KY Primary

Addresses

Primary practice location

166 Hospital St
Monticello, KY 42633-2430

Mailing address

166 Hospital St
Monticello, KY 42633-2430
Phone (606) 340-3251

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
I20191127002022 KY Practitioner - Nurse Practitioner 7911330261 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wayne County Hospital IncGroup PAC ID 7113814740, 15 clinicians

Practice addresses (Care Compare)

166 Hospital St
Monticello, KY 42633-2416

Hospital & facility affiliations

  • Wayne County Hospital Hospital, Monticello, KY, CCN 181321

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brock Medical, LLC CurrentSince Jan 7, 2020 Accepting new patients
Fast Pace Kentucky, PLLC CurrentSince Oct 1, 2021 Accepting new patients
Wayne County Hospital, Inc Family CurrentSince Oct 28, 2019 Accepting new patients
Wayne County Hospital, Inc CurrentSince Oct 28, 2019 Accepting new patients
Fast Pace Kentucky PLLC Family CurrentSince Oct 1, 2021 Accepting new patients
Lake Cumberland Physician Practices, LLC Current Accepting new patients
Lake Cumberland Physician Practices LLC CurrentSince Sep 14, 2020 Accepting new patients
Fast Pace Kentucky PLLC CurrentSince Jan 7, 2020 Accepting new patients
Lake Cumberland Physician Practices LLC Family CurrentSince Sep 14, 2020 Accepting new patients

Locations

796 W Broadway St
Campbellsville, KY 42718
Phone (270) 572-4933

110 S 2nd St
Central City, KY 42330
Phone (270) 931-2059

1591 Hustonville Rd
Danville, KY 40422
Phone (270) 861-1110

1475 Nashville Rd
Franklin, KY 42134
Phone (270) 813-1111

1649 Highway 192 W
London, KY 40741
Phone (606) 330-0055

166 Hospital St
Monticello, KY 42633
Phone (606) 340-3251

30 Tower Cir
Somerset, KY 42503
Phone (606) 451-8644

305 Medpark Dr
Somerset, KY 42503
Phone (606) 263-2912

Interoperability endpoints

  • Direct secure messaging: jessica.mckinney.1@16416.direct.athenahealth.com

Organizations & group practices 9

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": "1572220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1669015103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 HOSPITAL ST",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "426332430",
            "telephone_number": "606-340-3251",
            "fax_number": "606-348-0618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 HOSPITAL ST",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "426332430",
            "telephone_number": "606-340-3251",
            "fax_number": "606-348-0618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "JESSICA",
        "middle_name": "RENEA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-28",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3013858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, KY

Sources for this page

Verify at the official NPI Registry.