Individual provider Active NPI

Jennifer Kristen Vaughan, APRN

  • Family Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1780361469
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4005971 Issued in KY
Practice address
185 Pasadena Dr Ste 110
Lexington, KY 40503-2971
Phone
(859) 297-1072
Fax
(859) 785-3828
NPI assigned
Jul 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 4005971 KY
Family Nurse Practitioner 363LF0000X 4005971 KY Primary

Addresses

Primary practice location

185 Pasadena Dr Ste 110
Lexington, KY 40503-2971

Mailing address

185 Pasadena Dr Ste 110
Lexington, KY 40503-2971
Phone (859) 297-1072

Other names 1

  • Jennifer Kristen Cole Vaughan Other name

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
I20230720003531 KY Practitioner - Nurse Practitioner 6608236781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.72 of 100Reported as group
Quality
66.02
Promoting interoperability
100
Improvement activities
40
Cost
79.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kiosk Medicine Kentucky LLC Family CurrentSince Jul 17, 2023 Accepting new patients

Locations

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

212 Kroger Way
Versailles, KY 40383
Phone (859) 297-1072

Interoperability endpoints

  • Direct secure messaging: jennifer.vaughan@krogerhealth.eclinicaldirectplus.com
  • Direct secure messaging: jennifer.vaughan.1@22447.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1780361469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 PASADENA DR STE 110",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032971",
            "telephone_number": "859-297-1072",
            "fax_number": "859-785-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 PASADENA DR STE 110",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032971",
            "telephone_number": "859-297-1072",
            "fax_number": "859-785-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHAN",
        "first_name": "JENNIFER",
        "middle_name": "KRISTEN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-03",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "KY",
            "license": "4005971",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4005971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "VAUGHAN",
            "middle_name": "KRISTEN COLE",
            "credential": "APRN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.