Active NPI
Jonathan Gipson
- Family Nurse Practitioner
- Paducah, KY
National Provider Identifier
1679998140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3008526
- Practice address
- 2603 Kentucky Ave
Suite 404
Paducah, KY 42003-3814 - Phone
- (270) 443-6472
- Fax
- (270) 442-1649
- NPI assigned
- Feb 20, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 3008526 | KY | |
| Family Nurse Practitioner | 363LF0000X | 3008526 | KY | Primary |
Addresses
Primary practice location
2603 Kentucky Ave
Suite 404
Paducah, KY 42003-3814
Mailing address
2605 Kentucky Ave
Suite 306
Paducah, KY 42003-3800
Phone (270) 415-7653
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100286630 | Medicaid | KY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jgipson6915@bhkydirect.com |
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2603 Kentucky Ave
Suite 404
Paducah, KY 42003-3830
Phone (270) 443-6472
Hospital & facility affiliations
- Baptist Health Paducah
- Jackson Purchase Medical Center
- Massac Memorial Hospital
- Murray-Calloway County Hospital
- Mercy Health - Lourdes Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.29 of 100
- Quality
- 87.32
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3008526 | KY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Inc | Nurse Practitioner | Current | Accepting new patients |
Locations
2605 Kentucky Ave
Ste 306
Paducah, KY 42003
Phone (270) 415-7653
2603 Kentucky Ave
Ste 404
Paducah, KY 42003
Phone (270) 443-6472
2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Paducah, KY
- NPI 1922401611
Nurse Practitioner
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Paducah, KY
- NPI 1730264128
-
- General Acute Care Hospital
- Paducah, KY
- NPI 1346244126
-
- General Acute Care Hospital
- Murray, KY
- NPI 1073504981
-
- Rural Acute Care Hospital
- Mayfield, KY
- NPI 1891892741
-
- Critical Access Hospital
- Metropolis, IL
- NPI 1790788578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606867200000",
"number": "1679998140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2605 KENTUCKY AVE",
"address_2": "SUITE 306",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420033800",
"telephone_number": "270-415-7653",
"fax_number": "270-575-8359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2603 KENTUCKY AVE",
"address_2": "SUITE 404",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420033814",
"telephone_number": "270-443-6472",
"fax_number": "270-442-1649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIPSON",
"first_name": "JONATHAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-02-20",
"last_updated": "2020-12-02",
"certification_date": "2020-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "3008526",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3008526",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100286630",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jgipson6915@bhkydirect.com",
"affiliation": "N",
"address_1": "2603 Kentucky Ave",
"address_2": "SUITE 404",
"city": "Paducah",
"state": "KY",
"country_code": "US",
"postal_code": "420033814",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.