Individual provider Active NPI

Jenna Rose McDonald Haupert, APRN, DNP, AG-ACNP

  • Acute Care Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1841912557
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
3018540 Issued in KY
Practice address
800 Rose St
Lexington, KY 40536-3008
Phone
(859) 323-9057
Fax
(859) 323-9502
NPI assigned
Sep 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Nurse Practitioner 363LC0200X PENDING KY
Acute Care Nurse Practitioner 363LA2100X 3018540 KY Primary

Addresses

Primary practice location

800 Rose St
Lexington, KY 40536-3008

Mailing address

3428 Oakbrook Dr
Lexington, KY 40515-1396
Phone (859) 608-8543

Other practice location 1

310 S Limestone
Lexington, KY 40508-3008
Phone (859) 608-8543

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jrmcdo2@uky.edu Health Information Exchange (HIE)

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
I20221122003253 KY Practitioner - Nurse Practitioner 5193193175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of KentuckyGroup PAC ID 3072425289, 778 clinicians

Practice addresses (Care Compare)

800 Rose St
Lexington, KY 40536-7001
Phone (859) 257-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.76 of 100Reported as group
Quality
78.19
Promoting interoperability
100
Improvement activities
40
Cost
70.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PENDINGKYMDOptometrist
3018540KYMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Kentucky CurrentSince Dec 1, 2022 Accepting new patients

Locations

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612

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 6

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": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1841912557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3428 OAKBROOK DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405151396",
            "telephone_number": "859-608-8543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ROSE ST",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405363008",
            "telephone_number": "859-323-9057",
            "fax_number": "859-323-9502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 S Limestone",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405083008",
            "country_code": "US",
            "telephone_number": "859-608-8543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAUPERT",
        "first_name": "JENNA",
        "middle_name": "ROSE MCDONALD",
        "credential": "APRN, DNP,  AG-ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "KY",
            "license": "PENDING",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "KY",
            "license": "3018540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jrmcdo2@uky.edu",
            "affiliation": "N",
            "endpointDescription": "Private work email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "310 S Limestone",
            "city": "Lexington",
            "state": "KY",
            "country_code": "US",
            "postal_code": "405083008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.