NPIMap

Individual provider Active NPI

Jennifer Haynes, APRN

  • Gerontology Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1730696451
Registry record updated Mar 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
3011773 Issued in KY
Practice address
3950 Kresge Way Ste 308
Louisville, KY 40207-4637
Phone
(502) 895-8911
NPI assigned
Jan 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 3011773 KY Primary

Addresses

Primary practice location

3950 Kresge Way Ste 308
Louisville, KY 40207-4637

Mailing address

PO Box 9203
Belfast, ME 04915-9203
Phone (502) 895-9627

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180126001893 KY Practitioner - Nurse Practitioner 6406116102 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Louisville Hospitalist Associates PLLCGroup PAC ID 1456451715, 34 clinicians

Practice addresses (Care Compare)

4001 Kresge Way
Suite 122
Louisville, KY 40207-4640
Phone (502) 593-7103

Hospital & facility affiliations

  • Baptist Health Louisville Hospital, Louisville, KY, CCN 180130
  • Norton Hospitals, Inc Hospital, Louisville, KY, CCN 180088

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
HMPS Internal Medicine of West Louisville PLLC CurrentSince Sep 1, 2023 Accepting new patients
Caremed Health Solutions of Kentucky, LLC CurrentSince Apr 27, 2025 Accepting new patients
Provider Partners Care Management LP CurrentSince Nov 19, 2025 Accepting new patients
Medicine PLLC PastSince Jun 15, 2019 Accepting new patients
Sangeeta Kapoor, PLLC Past Accepting new patients

Locations

1820 Oakview Rd
Ashland, KY 41101
Phone (606) 325-5200

446 Mount Holly Ave
Louisville, KY 40206
Phone (502) 897-1646

9850 Von Allmen Ct
Ste 201
Louisville, KY 40241
Phone (480) 269-9248

927 W Main St
Louisville, KY 40202
Phone (502) 641-6695

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (410) 967-2097

300 Tice Blvd
Ste 175
Woodcliff Lake, NJ 07677

Organizations & group practices 7

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.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1514937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1730696451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9203",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049159203",
            "telephone_number": "502-895-9627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 KRESGE WAY STE 308",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074637",
            "telephone_number": "502-895-8911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "JENNIFER",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-03",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "KY",
            "license": "3011773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.