Individual provider Active NPI

Billie Jo Jackson, APRN

  • Family Nurse Practitioner
  • Cumberland, KY
National Provider Identifier
1689167736
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3012226 Issued in KY
Practice address
18880 N US Highway 119
Cumberland, KY 40823-8106
Phone
(606) 589-0130
NPI assigned
Jun 13, 2018
Last updated
Aug 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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 3012226 KY Primary

Addresses

Primary practice location

18880 N US Highway 119
Cumberland, KY 40823-8106

Mailing address

350 Ridge Rd
Baxter, KY 40806-8321
Phone (606) 574-0939

Other identifiers 1

IdentifierTypeStateIssuer
3012226OtherKYKENTUCKY BOARD OF NURSING

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address billiejackson@arh.medalliesdirect.net Direct

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
I20180807002466 KY Practitioner - Nurse Practitioner 4183972128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

Cumberland, KY 40823
Phone (606) 573-4520

Harlan, KY 40831
Phone (606) 573-4520

18880 N US Hwy 119
Cumberland, KY 40823-8106
Phone (606) 598-0130

37 Ball Park Rd
Harlan, KY 40831-1701
Phone (606) 573-4520

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3012226KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian Regional Healthcare, Inc CurrentSince Jul 25, 2018 Accepting new patients
Appalachian Regional Healthcare, Inc. CurrentSince Jul 25, 2018 Accepting new patients
Appalachian Regional Healthcare, Inc Family Current Accepting new patients
Appalachian Regional Healthcare, Inc. Family Past Accepting new patients

Locations

18880 N US Highway 119
Cumberland, KY 40823
Phone (606) 589-0130

37 Ball Park Rd
Harlan, KY 40831
Phone (606) 263-3900

100 Airport Gardens Rd
Ste 311
Hazard, KY 41701
Phone (606) 439-6978

Interoperability endpoints

  • Direct secure messaging: billiejackson@arh.medalliesdirect.net

Organizations & group practices 4

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.

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": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1689167736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 RIDGE RD",
            "city": "BAXTER",
            "state": "KY",
            "postal_code": "408068321",
            "telephone_number": "606-574-0939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18880 N US HIGHWAY 119",
            "city": "CUMBERLAND",
            "state": "KY",
            "postal_code": "408238106",
            "telephone_number": "606-589-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "BILLIE",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-13",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3012226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KENTUCKY BOARD OF NURSING",
            "identifier": "3012226",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "billiejackson@arh.medalliesdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Standard Direct Functionality",
            "address_1": "18880 N US Highway 119",
            "city": "Cumberland",
            "state": "KY",
            "country_code": "US",
            "postal_code": "408238106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cumberland, KY

Sources for this page

Verify at the official NPI Registry.