Individual provider Active NPI

Jenna Leigh Dismore Wrinkles, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Elizabethtown, KY
National Provider Identifier
1780909952
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
47108 Issued in KY
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7100167720MedicaidKY
P01590218OtherKYRAILROAD MEDICARE
P01957674OtherINRAILROAD MEDICARE
5661958OtherAETNA PIN
2355628OtherCIGNA PROVIDER ID NUMBER
339847KYIPOtherKYAETNA BETTER HEALTH OF KY PROVIDER ID NUMBER
000000963791OtherANTHEM PIN
005625439OtherUNITED HEALTHCARE PROVIDER ID NUMBER
1232438OtherKYWELLCARE OF KY PROVIDER ID NUMBER
201317930MedicaidIN
CS1612000141OtherCARESOURCE ID

Electronic endpoints 1

TypeEndpointUseAffiliation
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, 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
I20150910002736 KY Practitioner - Pain ManagementPractitioner - AnesthesiologyPractitioner - Interventional Radiology 1951618768 Reassigns benefits to 1 organization
I20150915001251 IN Practitioner - Pain ManagementPractitioner - Anesthesiology 1951618768 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology, Interventional Radiology
Education
University of Louisville School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Commonwealth Pain Associates PLLCGroup PAC ID 0941441919, 156 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
47108KYMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Pain Associates PLLC CurrentSince Aug 1, 2015 Accepting new patients
Commonwealth Pain Associates, PLLC Pain Medicine CurrentSince Aug 1, 2015 Accepting new patients
Harrison County Chiropractic PC PastSince Dec 13, 2020 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.

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": "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",
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        },
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            "fax_number": "270-506-2843",
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        },
        {
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            "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": [
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            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100167720",
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        },
        {
            "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

Verify at the official NPI Registry.