NPIMap

Individual provider Active NPI

Jessica Joy Malonzo Samson, APRN

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1770146979
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3012448 Issued in KY
Practice address
1930 Bishop LN FL 12
Louisville, KY 40218-1921
Phone
(502) 272-5220
Fax
(502) 272-5117
NPI assigned
Apr 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3012448 KY Primary

Addresses

Primary practice location

1930 Bishop LN FL 12
Louisville, KY 40218-1921

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490

Other identifiers 3

IdentifierTypeStateIssuer
3012448OtherKYLICENSE
7100589690MedicaidKY
71009170AOtherINLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190502001375 KY Practitioner - Nurse Practitioner 0244572717 Reassigns benefits to 2 organizations
I20190812001667 IN Practitioner - Nurse Practitioner 0244572717 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, shared by 2 NPIs, 1,368 clinicians

Practice addresses (Care Compare)

1930 Bishop LN
FL 12
Louisville, KY 40218-1921
Phone (502) 272-5220

2051 Clevidence Blvd
Suite B
Clarksville, IN 47129-2278
Phone (502) 629-2030

Hospital & facility affiliations

  • Norton Hospitals, Inc Hospital, Louisville, KY, CCN 180088

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3012448KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. CurrentSince Dec 1, 2021 Accepting new patients
Little Clinic of in LLC Family CurrentSince Jun 1, 2019 Accepting new patients
Community Medical Associates, Inc. CurrentSince Dec 1, 2021 Accepting new patients
Community Medical Associates, Inc. Family Current Accepting new patients
Kiosk Medicine Kentucky LLC Family CurrentSince May 15, 2019 Accepting new patients
Community Medical Associates, Inc. Past Accepting new patients

Locations

2051 Clevidence Blvd
Clarksville, IN 47129
Phone (812) 280-6650

2051 Clevidence Blvd
Ste B
Clarksville, IN 47129
Phone (502) 629-2030

815 Highlander Point Dr
Floyds Knobs, IN 47119
Phone (812) 923-7146

1027 Jeffersonville Commons Dr
Jeffersonvlle, IN 47130
Phone (812) 288-0011

1373 E State Road 62
#6F
Madison, IN 47250
Phone (502) 629-7181

200 New Albany Plz
New Albany, IN 47150
Phone (812) 941-3080

3039 Breckenridge Ln
Louisville, KY 40220
Phone (502) 451-4555

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

2440 Bardstown Rd
Louisville, KY 40205
Phone (502) 459-3248

1930 Bishop Ln
Fl 12
Louisville, KY 40218
Phone (502) 272-5220

Interoperability endpoints

  • Direct secure messaging: jsamson43362@direct.nortonhealthcare.org

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1770146979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 BISHOP LN FL 12",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402181921",
            "telephone_number": "502-272-5220",
            "fax_number": "502-272-5117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMSON",
        "first_name": "JESSICA JOY",
        "middle_name": "MALONZO",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-15",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3012448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "3012448",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100589690",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "71009170A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.