Jennifer Lynn Hardin, P.A.-C.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA412 Issued in KY

Practice address

245 Flemingsburg Rd
Morehead, KY 40351-1015

Phone

(606) 780-5500

Fax

(606) 783-7281

NPI assigned

Oct 3, 2006

Last updated

May 2, 2018By 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 2

Addresses

Other identifiers 6

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• St Claire Medical Center, Inc.,

  dba St Claire Regional Medical Center

  • General Acute Care Hospital
  • Morehead, KY
  • NPI 1821168535
  Medicare reassignment
• Black & Carpenter PSC

  dba Morehead Clinic

  • Internal Medicine Physician
  • Morehead, KY
  • NPI 1770557936
  NPD
• St Claire Medical Center, Inc

  dba St Claire Healthcare Urgent Care

  • Rural Health Clinic/Center
  • Morehead, KY
  • NPI 1477236487
  NPD
• St Claire Medical Center, Inc

  dba Cave Run Surgical Specialists

  • Surgery Physician
  • Morehead, KY
  • NPI 1558383885

  Physician Assistant

  NPD
• Commonwealth Medical Care, LLC

  • Family Medicine Physician
  • Lexington, KY
  • NPI 1427583178
  NPD (past)
• Elderserve, Inc.

  • Home Health Agency
  • Louisville, KY
  • NPI 1982886784
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525219200000",
    "number": "1669567137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 CLINIC DR",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403511077",
            "telephone_number": "606-780-5500",
            "fax_number": "606-783-7281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 FLEMINGSBURG RD",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403511015",
            "telephone_number": "606-780-5500",
            "fax_number": "606-783-7281"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "989 Governors Ln",
            "address_2": "Suite 220",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405131173",
            "country_code": "US",
            "telephone_number": "859-338-3958",
            "fax_number": "859-368-8135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARDIN",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2018-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA412",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "PA412",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID LAB GRP",
            "identifier": "37903705",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GRP",
            "identifier": "CB5773",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE LAB GRP",
            "identifier": "4000501",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "K032922",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95000386",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PIN",
            "identifier": "P00190999",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Handsrowan
• James K Hanlon, DC
• Cindy D Hanner, CRNA
• Raegan Hanshaw, RBT
• Happy Heights Theray, LLC
• Ginger Hardy, APRN, CNM
• Hannah Hardymon
• Tammy Harney
• Anna Harp, PA-C
• Kathryn Harrison

• Physician Assistant in Morehead, KY
• Providers in Morehead, KY by specialty
• Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.