Active NPI
Jennifer L Rogers, ARNP
- Family Nurse Practitioner
- Murray, KY
National Provider Identifier
1841255742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4026P
- Practice address
- 1000 S 12TH St
Murray, KY 42071-9303 - Phone
- (270) 759-9200
- Fax
- (270) 759-9966
- NPI assigned
- Apr 20, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4026P | KY | Primary |
Addresses
Primary practice location
1000 S 12TH St
Murray, KY 42071-9303
Mailing address
1000 S 12TH St
Murray, KY 42071-9303
Phone (270) 759-9200
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000296638 | Other | KY | BLUECROSS AND BLUE SHIELD |
| 78010394 | Medicaid | KY | |
| 78901527 | Other | KY | OTHER MEDICAID GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4026P | KY | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444953600000",
"number": "1841255742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 S 12TH ST",
"city": "MURRAY",
"state": "KY",
"postal_code": "420719303",
"telephone_number": "270-759-9200",
"fax_number": "270-759-9966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 S 12TH ST",
"city": "MURRAY",
"state": "KY",
"postal_code": "420719303",
"telephone_number": "270-759-9200",
"fax_number": "270-759-9966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "JENNIFER",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-20",
"last_updated": "2015-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "4026P",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS AND BLUE SHIELD",
"identifier": "000000296638",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "78010394",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER MEDICAID GROUP",
"identifier": "78901527",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Murray, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.