Active NPI
Jessica Renea McKinney, APRN
- Family Nurse Practitioner
- Monticello, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3013858
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Practice addresses (Care Compare)
166 Hospital St
Monticello, KY 42633-2416
Hospital & facility affiliations
- Wayne County Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brock Medical, LLC | Current | Accepting new patients | |
| Fast Pace Kentucky, PLLC | Current | Accepting new patients | |
| Wayne County Hospital, Inc | Family | Current | Accepting new patients |
| Wayne County Hospital, Inc | Current | Accepting new patients | |
| Fast Pace Kentucky PLLC | Family | Current | Accepting new patients |
| Lake Cumberland Physician Practices, LLC | Current | Accepting new patients | |
| Lake Cumberland Physician Practices LLC | Current | Accepting new patients | |
| Fast Pace Kentucky PLLC | Current | Accepting new patients | |
| Lake Cumberland Physician Practices LLC | Family | Current | 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
- 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.
-
- Orthopaedic Surgery Physician
- Somerset, KY
- NPI 1811356892
KY
-
- Rural Health Clinic/Center
- Corbin, KY
- NPI 1669256913
-
- Gastroenterology Physician
- Somerset, KY
- NPI 1174091383
-
- Internal Medicine Physician
- Somerset, KY
- NPI 1689115172
Family
-
- Medicare Defined Swing Bed Hospital Unit
- Monticello, KY
- NPI 1992744536
-
- Rural Health Clinic/Center
- Spindale, NC
- NPI 1942027891
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; 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.