Individual provider Active NPI

Jessica Zoeller, APRN

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1861031643
Registry record updated Dec 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3014070 Issued in KY
Practice address
3165 S 2ND St
Louisville, KY 40208-1446
Phone
(502) 883-7275
NPI assigned
Dec 27, 2019
Last updated
Dec 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2019

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 3014070 KY Primary

Addresses

Primary practice location

3165 S 2ND St
Louisville, KY 40208-1446

Mailing address

2620 Elm Hill Pike
Nashville, TN 37214-3108
Phone (615) 425-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 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
I20200203001060 KY Practitioner - Nurse Practitioner 6608202072 Reassigns benefits to 2 organizations
I20241011002484 KY Practitioner - Family PracticePractitioner - Pain Management 6608202072 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
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)

120 Executive Park
Louisville, KY 40207-4201
Phone (502) 855-7200

223 Executive Park
Loisville, KY 40207-4202

225 Executive Park
Louisville, KY 40207-4202
Phone (502) 855-7200

400 Executive Park
Louisville, KY 40207-4204
Phone (502) 855-7200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3014070KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Pain Associates PLLC CurrentSince Jun 16, 2025 Accepting new patients
Kiosk Medicine Kentucky LLC Family CurrentSince Dec 19, 2019 Accepting new patients
Gary L Reasor, MD P.S.C CurrentSince Sep 12, 2024 Accepting new patients
Commonwealth Pain Associates, PLLC Family CurrentSince Jun 16, 2025 Accepting new patients

Locations

3039 Breckenridge Ln
Louisville, KY 40220
Phone (502) 451-4555

3165 S 2nd St
Louisville, KY 40208
Phone (502) 368-6153

400 Executive Park
Louisville, KY 40207
Phone (502) 896-9877

4420 Dixie Hwy
Ste 107
Louisville, KY 40216

120 Executive Park
St Matthews, KY 40207
Phone (502) 409-9925

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1577404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577404800000",
    "number": "1861031643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 ELM HILL PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143108",
            "telephone_number": "615-425-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3165 S 2ND ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402081446",
            "telephone_number": "502-883-7275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOELLER",
        "first_name": "JESSICA",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-27",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3014070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.