Jennifer Nicole Proffitt, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3005691 Issued in KY

Practice address

197 Will Walker Road
Columbia, KY 42728-7436

Phone

(270) 384-9981

Fax

(270) 384-9989

NPI assigned

Aug 13, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Nurse Practitioner

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cumberland Family Medical Center IncGroup PAC ID 6305947789, 125 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lifeline Home Health Home health agency, Tompkinsville, KY, CCN 187130
• Monroe County Medical Center Hospital, Tompkinsville, KY, CCN 180105
• T J Samson Community Hospital Hospital, Glasgow, KY, CCN 180017

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jproffittaprn@direct.meditouchehr.com
• Direct secure messaging: jnpnp@yourcarecommunity.org

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.

• Cumberland Family Medical Center Inc

  • Federally Qualified Health Center (FQHC)
  • Burkesville, KY
  • NPI 1306873500
  Medicare reassignment Care Compare group
• Cumberland Family Medical Center Inc

  • Federally Qualified Health Center (FQHC)
  • Tompkinsville, KY
  • NPI 1649516287
  NPD
• Cumberland Family Medical Center Inc

  • Federally Qualified Health Center (FQHC)
  • Danville, KY
  • NPI 1215918917
  NPD (past)
• Timothy D. Hume M.D. LLC

  • Family Medicine Physician
  • Tompkinsville, KY
  • NPI 1326296799
  NPD (past)

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

• LHCG Xlvi, LLC

  • Home Health Agency
  • Tompkinsville, KY
  • NPI 1972933323
  Care Compare affiliation
• Monroe Medical Foundation, Inc.

  • General Acute Care Hospital
  • Tompkinsville, KY
  • NPI 1053499350
  Care Compare affiliation
• T J Samson Community Hospital

  • Family Medicine Physician
  • Glasgow, KY
  • NPI 1477609865

  Hospital

  Care Compare affiliation
• T J Samson Community Hospital

  • General Acute Care Hospital
  • Glasgow, KY
  • NPI 1770581894
  Care Compare affiliation

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1760638456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1080",
            "city": "BURKESVILLE",
            "state": "KY",
            "postal_code": "427171080",
            "telephone_number": "270-864-1472",
            "fax_number": "270-864-1693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 WILL WALKER ROAD",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "427287436",
            "telephone_number": "270-384-9981",
            "fax_number": "270-384-9989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROFFITT",
        "first_name": "JENNIFER",
        "middle_name": "NICOLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-13",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3005691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11883584",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100056920",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacob William Pooler, PT, DPT
• Prescription Shoppe
• Prescription Shoppe Inc
• Jason Priddy
• Private Contractor
• Pyles Pharmacy, Inc.
• Angel Nashae Reeder
• Shelby Lynn Reid, LPCC
• Dawn Lashaye Reliford
• Melissa Richard

• Family Nurse Practitioner in Columbia, KY
• Providers in Columbia, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; 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.

Verify at the official NPI Registry.