Active NPI
Jenna Leigh Dismore Wrinkles, M.D.
- Pain Medicine (Anesthesiology) Physician
- Elizabethtown, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 47108
- Practice address
- 1107 Crown Pointe Dr Ste 107
Elizabethtown, KY 42701-7280 - Phone
- (270) 506-3300
- Fax
- (270) 506-2843
- NPI assigned
- Mar 31, 2010
- Last updated
- Sep 11, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 01075865A | IN | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 47108 | KY | Primary |
Addresses
Primary practice location
1107 Crown Pointe Dr Ste 107
Elizabethtown, KY 42701-7280
Mailing address
PO Box 21890
Belfast, ME 04915-4115
Phone (502) 907-0356
Other practice location 1
4420 Dixie Hwy Ste 107
Louisville, KY 40216-2986
Phone (502) 855-7200
Other practice location 2
935 Chambers Blvd
Bardstown, KY 40004-2575
Phone (270) 506-3300
Other practice location 3
101 Prosperous Pl Ste 300
Lexington, KY 40509-1836
Phone (859) 275-5229
Other practice location 4
3602 Northgate Ct Ste 39
New Albany, IN 47150-6417
Phone (812) 670-5684
Other practice location 5
120 Executive Park
Louisville, KY 40207-4201
Phone (502) 855-7200
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100167720 | Medicaid | KY | |
| P01590218 | Other | KY | RAILROAD MEDICARE |
| P01957674 | Other | IN | RAILROAD MEDICARE |
| 5661958 | Other | AETNA PIN | |
| 2355628 | Other | CIGNA PROVIDER ID NUMBER | |
| 339847KYIP | Other | KY | AETNA BETTER HEALTH OF KY PROVIDER ID NUMBER |
| 000000963791 | Other | ANTHEM PIN | |
| 005625439 | Other | UNITED HEALTHCARE PROVIDER ID NUMBER | |
| 1232438 | Other | KY | WELLCARE OF KY PROVIDER ID NUMBER |
| 201317930 | Medicaid | IN | |
| CS1612000141 | Other | CARESOURCE ID |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jenna.dismore.wrinkles.1@16521.direct.athenahealth.com | Commonwealth Pain Associates, PLLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- University of Louisville School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1107 Crown Pointe Dr
Suite 107
Elizabethtown, KY 42701-7280
Phone (270) 506-3300
120 Executive Park
Louisville, KY 40207-4201
3602 Northgate CT
Suite 39
New Albany, IN 47150-6417
Phone (812) 670-5684
520 S 7TH St
Suite 159
Vincennes, IN 47591-1038
Phone (812) 962-7890
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.99 of 100
- Quality
- 81.97
- Promoting interoperability
- 97
- Improvement activities
- 40
- Cost
- 77.29
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47108 | KY | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonwealth Pain Associates PLLC | Current | Accepting new patients | |
| Commonwealth Pain Associates, PLLC | Pain Medicine | Current | Accepting new patients |
| Harrison County Chiropractic PC | Past | Accepting new patients |
Locations
1025 1st Ave W
Jasper, IN 47546
Phone (812) 482-6066
600 W 13th St
Ste 268
Jasper, IN 47546
3602 Northgate Ct
Ste 39
New Albany, IN 47150
Phone (812) 670-5684
520 S 7th St
Ste 159
Vincennes, IN 47591
Phone (812) 962-7890
935 Chambers Blvd
Bardstown, KY 40004
Phone (270) 506-3300
99 Wellpark Ln
Apt 4
Campbellsville, KY 42718
Phone (606) 260-8613
320 Thomas More Pkwy
Ste 202
Crestview Hills, KY 41017
Phone (513) 624-7246
101 Prosperous Pl
Ste 300
Lexington, KY 40509
Phone (859) 271-3114
100 London Mountain View Dr
Fl 1
London, KY 40741
Phone (859) 275-5229
223 Executive Park
Louisville, KY 40207
225 Executive Park
Louisville, KY 40207
Phone (502) 895-3831
2609 New Hartford Rd
Ste 3
Owensboro, KY 42303
Phone (270) 417-2000
120 Executive Park
St Matthews, KY 40207
Phone (502) 409-9925
Organizations & group practices 3
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.
-
dba Commonwealth Pain and Spine
- Interventional Pain Medicine Physician
- Louisville, KY
- NPI 1306280177
IN
-
dba Commonwealth Pain And Spine
- Durable Medical Equipment & Medical Supplies
- Paducah, KY
- NPI 1114753720
-
- Chiropractor
- Corydon, IN
- NPI 1316088578
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Health Hardin
- General Acute Care Hospital
- Elizabethtown, KY
- NPI 1689282147
-
dba Baptist Health Louisville
- General Acute Care Hospital
- Louisville, KY
- NPI 1265539498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789084800000",
"number": "1780909952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 21890",
"city": "BELFAST",
"state": "ME",
"postal_code": "049154115",
"telephone_number": "502-907-0356",
"fax_number": "502-919-9780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1107 CROWN POINTE DR STE 107",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427017280",
"telephone_number": "270-506-3300",
"fax_number": "270-506-2843"
}
],
"practiceLocations": [
{
"address_1": "4420 Dixie Hwy Ste 107",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402162986",
"country_code": "US",
"telephone_number": "502-855-7200",
"fax_number": "502-855-7201",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "935 Chambers Blvd",
"address_purpose": "LOCATION",
"city": "Bardstown",
"state": "KY",
"postal_code": "400042575",
"country_code": "US",
"telephone_number": "270-506-3300",
"fax_number": "270-506-2843",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 Prosperous Pl Ste 300",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405091836",
"country_code": "US",
"telephone_number": "859-275-5229",
"fax_number": "859-977-2683",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3602 Northgate Ct Ste 39",
"address_purpose": "LOCATION",
"city": "New Albany",
"state": "IN",
"postal_code": "471506417",
"country_code": "US",
"telephone_number": "812-670-5684",
"fax_number": "812-941-0814",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "120 Executive Park",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402074201",
"country_code": "US",
"telephone_number": "502-855-7200",
"fax_number": "502-855-7201",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DISMORE WRINKLES",
"first_name": "JENNA",
"middle_name": "LEIGH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-31",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "IN",
"license": "01075865A",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "KY",
"license": "47108",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100167720",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01590218",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01957674",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PIN",
"identifier": "5661958",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PROVIDER ID NUMBER",
"identifier": "2355628",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA BETTER HEALTH OF KY PROVIDER ID NUMBER",
"identifier": "339847KYIP",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PIN",
"identifier": "000000963791",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE PROVIDER ID NUMBER",
"identifier": "005625439",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE OF KY PROVIDER ID NUMBER",
"identifier": "1232438",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201317930",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE ID",
"identifier": "CS1612000141",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jenna.dismore.wrinkles.1@16521.direct.athenahealth.com",
"affiliation": "Y",
"affiliationName": "Commonwealth Pain Associates, PLLC",
"address_1": "120 Executive Park",
"city": "Louisville",
"state": "KY",
"country_code": "US",
"postal_code": "402074201",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Elizabethtown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; 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.