Individual provider Active NPI

Jessica D Duncan, APRN

  • Nurse Practitioner
  • Ashland, KY
National Provider Identifier
1740525047
Registry record updated Dec 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3007635 Issued in KY
Practice address
2245 Winchester Ave
Ste 1
Ashland, KY 41101-7848
Phone
(606) 324-2554
Fax
(606) 324-2581
NPI assigned
Nov 28, 2012
Last updated
Dec 6, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3007635 KY Primary

Addresses

Primary practice location

2245 Winchester Ave
Ste 1
Ashland, KY 41101-7848

Mailing address

PO Box 2379
Ste 1
Ashland, KY 41105-2379
Phone (606) 408-6200

Other identifiers 1

IdentifierTypeStateIssuer
7100231000MedicaidKY

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
I20130301000418 KY Practitioner - Nurse Practitioner 0345495016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2245 Winchester Ave
Suite 1
Ashland, KY 41101-7848
Phone (606) 324-2554

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.04 of 100Reported as group
Quality
60.55
Promoting interoperability
100
Improvement activities
40
Cost
78.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3007635KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kings Daughters Medical Specialties Inc., Nurse Practitioner CurrentSince Dec 1, 2016 Accepting new patients
Kings Daughters Medical Specialties Inc CurrentSince Dec 1, 2016 Accepting new patients
Kings Daughters Medical Specialties Inc Nurse Practitioner Current Accepting new patients
Kings Daughters Medical Specialties Inc Nurse Practitioner Past Accepting new patients

Locations

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

2245 Winchester Ave
Ste 1
Ashland, KY 41101
Phone (606) 324-2554

617 23rd St
Ste 415
Ashland, KY 41101
Phone (606) 325-1200

609 N Carol Malone Blvd
#100
Grayson, KY 41143
Phone (606) 474-7892

609 N Carol Malone Blvd
#105
Grayson, KY 41143
Phone (606) 408-8200

Interoperability endpoints

  • Direct secure messaging: jduncan63112@direct.kdhealth.us

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": "1354060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480982400000",
    "number": "1740525047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2379",
            "address_2": "STE 1",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411052379",
            "telephone_number": "606-408-6200",
            "fax_number": "606-408-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2245 WINCHESTER AVE",
            "address_2": "STE 1",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017848",
            "telephone_number": "606-324-2554",
            "fax_number": "606-324-2581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "JESSICA",
        "middle_name": "D",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-28",
        "last_updated": "2016-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3007635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100231000",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

Verify at the official NPI Registry.