Individual provider Active NPI

Jennifer Sue Carver, APRN

  • Family Nurse Practitioner
  • Somerset, KY
National Provider Identifier
1831798511
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3014742 Issued in KY
Practice address
100 Parkway Dr
Somerset, KY 42503-3450
Phone
(800) 937-9596
NPI assigned
Oct 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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 3014742 KY Primary

Addresses

Primary practice location

100 Parkway Dr
Somerset, KY 42503-3450

Mailing address

154 Garner Rd
Burkesville, KY 42717-7851
Phone (270) 459-1557

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
I20201102002450 KY Practitioner - Nurse Practitioner 0840600904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Hospice of Lake Cumberland IncGroup PAC ID 9032153382, 3 clinicians

Practice addresses (Care Compare)

100 Pkwy Dr
Somerset, KY 42503-3450
Phone (606) 679-4389

Hospital & facility affiliations

  • Lifeline Health Care of Pulaski Home health agency, Somerset, KY, CCN 187099
  • Cumberland County Hospital Hospital, Burkesville, KY, CCN 181317
  • Russell County Hospital Hospital, Russell Springs, KY, CCN 181330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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.

Hospital & facility affiliations 3

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": "1603324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1831798511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 GARNER RD",
            "city": "BURKESVILLE",
            "state": "KY",
            "postal_code": "427177851",
            "telephone_number": "270-459-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PARKWAY DR",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425033450",
            "telephone_number": "800-937-9596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARVER",
        "first_name": "JENNIFER",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-22",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3014742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

Verify at the official NPI Registry.