Individual provider Active NPI

Jessica Bokelman, DO

  • Family Medicine Physician
  • Florence, KY
National Provider Identifier
1760817142
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04049 Issued in KY
Practice address
8200 Dixie Hwy
Florence, KY 41042-3225
Phone
(859) 212-0494
Fax
(859) 282-1545
NPI assigned
Sep 4, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 04049 KY Primary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 04049 KY

Addresses

Primary practice location

8200 Dixie Hwy
Florence, KY 41042-3225

Mailing address

PO Box 635283
Cincinnati, OH 45263-5283
Phone (859) 301-4688

Other names 1

  • Jessica Vick Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170721001843 KY Practitioner - Family PracticePractitioner - Hospice/Palliative Care 6507167962 Reassigns benefits to 2 organizations
I20230918003860 IN Practitioner - Family PracticePractitioner - Hospice/Palliative Care 6507167962 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospice/Palliative Care
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Medical Group IncGroup PAC ID 2163326240, shared by 11 NPIs, 803 clinicians

Practice addresses (Care Compare)

1640 Flossie Dr
Greendale, IN 47025-8424
Phone (812) 496-3285

405 Violet Rd
Crittenden, KY 41030-8956
Phone (859) 428-1610

Hospital & facility affiliations

  • St Elizabeth Edgewood Hospital, Edgewood, KY, CCN 180035
  • St Elizabeth Grant Hospital, Williamstown, KY, CCN 181311

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04049KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group, Inc. Family Medicine CurrentSince Aug 15, 2023 Accepting new patients
Summit Medical Group, Inc Family Medicine Current Accepting new patients
Summit Medical Group, Inc Family Medicine CurrentSince Jul 31, 2017 Accepting new patients
Summit Medical Group, Inc. CurrentSince Jul 31, 2017 Accepting new patients
Summit Medical Group Inc Family Medicine Past Accepting new patients

Locations

204 Bridgeway St
Aurora, IN 47001
Phone (812) 926-3133

1640 Flossie Dr
Lawrenceburg, IN 47025
Phone (812) 496-3285

405 Violet Rd
Crittenden, KY 41030
Phone (859) 428-1610

1 Medical Village Dr
Edgewood, KY 41017
Phone (859) 301-2000

8200 Dixie Hwy
Florence, KY 41042
Phone (859) 212-0494

85 N Grand Ave
Fort Thomas, KY 41075
Phone (859) 572-3100

1980 Litton Ln
Hebron, KY 41048
Phone (859) 334-8700

1400 Grand Ave
Newport, KY 41071
Phone (859) 905-3070

238 Barnes Rd
Williamstown, KY 41097
Phone (859) 292-4000

300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217

Organizations & group practices 6

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 2

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": "1378252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1760817142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 635283",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452635283",
            "telephone_number": "859-301-4688",
            "fax_number": "859-301-2607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 DIXIE HWY",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410423225",
            "telephone_number": "859-212-0494",
            "fax_number": "859-282-1545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOKELMAN",
        "first_name": "JESSICA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-04",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "04049",
            "primary": true
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "KY",
            "license": "04049",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "VICK",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Florence, KY

Sources for this page

Verify at the official NPI Registry.