Individual provider Active NPI

Jeffrey Lynn Zellers, MD

  • Psychiatry Physician
  • Bowling Green, KY
National Provider Identifier
1689787558
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
28128 Issued in KY
Practice address
380 Suwannee Trail Street
Bowling Green, KY 42103
Phone
(270) 901-5000
Fax
(270) 782-5927
NPI assigned
Aug 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 28128 KY Primary

Addresses

Primary practice location

380 Suwannee Trail Street
Bowling Green, KY 42103

Mailing address

300 Airport Rd
Leitchfield, KY 42754-7843

Other identifiers 1

IdentifierTypeStateIssuer
28128OtherKYSTATE LICENSE

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070222000449 KY Practitioner - Psychiatry 5294837233 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Temple University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lifeskills, IncGroup PAC ID 8820902638, 47 clinicians

Practice addresses (Care Compare)

380 Suwannee Trail St
Bowling Green, KY 42103-7956
Phone (270) 901-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeskills, Inc. CurrentSince Jan 24, 2006 Accepting new patients
United Healthcare of Hardin, Inc Past Accepting new patients

Locations

8324 Eagle Way
Chicago, IL 60678

822 Woodway St
Bowling Green, KY 42101

501 Chestnut St
Bowling Green, KY 42101
Phone (270) 901-5712

380 Suwannee Trail St
Bowling Green, KY 42103

205 Mohawk St
Brownsville, KY 42210
Phone (270) 597-2713

1031 Brookhaven Rd
Franklin, KY 42134
Phone (270) 586-8281

608 Happy Valley Rd
Glasgow, KY 42141
Phone (270) 651-8379

506 Hopkinsville St
Greenville, KY 42345
Phone (270) 338-5211

735 North Dr
Hopkinsville, KY 42240
Phone (270) 886-5163

222 Industrial Dr N
Morgantown, KY 42261
Phone (270) 526-3877

118 W Union St
Munfordville, KY 42765
Phone (270) 524-2713

237 E 6th St
Russellville, KY 42276
Phone (270) 726-3629

512 Veterans Memorial Hwy
Scottsville, KY 42164
Phone (270) 237-4481

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1689787558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 AIRPORT RD",
            "city": "LEITCHFIELD",
            "state": "KY",
            "postal_code": "427547843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 SUWANNEE TRAIL STREET",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "42103",
            "telephone_number": "270-901-5000",
            "fax_number": "270-782-5927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELLERS",
        "first_name": "JEFFREY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "28128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "28128",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.