NPIMap

Individual provider Active NPI

Jennifer Ruth Street, MS, PA-C, ATC

  • Physician Assistant
  • Louisville, KY
National Provider Identifier
1861640104
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2311 Issued in KY
Practice address
201 Abraham Flexner Way Ste 100
Louisville, KY 40202-3841
Phone
(502) 587-8222
Fax
(502) 587-0160
NPI assigned
Aug 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA2311 KY Primary

Addresses

Primary practice location

201 Abraham Flexner Way Ste 100
Louisville, KY 40202-3841

Mailing address

PO Box 909
Louisville, KY 40201-0909
Phone (502) 588-0328

Other identifiers 2

IdentifierTypeStateIssuer
7100491200MedicaidKY
300047016MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171006002417 KY Practitioner - Physician Assistant 9931474517 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Louisville Physicians Inc 1,438 clinicians

Practice addresses (Care Compare)

1868 W Hebron LN
Shepherdsville, KY 40165-7481
Phone (502) 955-3312

1903 W Hebron LN
Shepherdsville, KY 40165-7425
Phone (502) 852-5341

201 Abraham Flexner Way
Louisville, KY 40202-3841

2401 Terra Crossing Blvd
Louisville, KY 40245-5395

3920 Dutchmans Lane
Suite 302
Louisville, KY 40207-4702
Phone (502) 583-8303

3920 Dutchmans LN
Louisville, KY 40207-4702

5129 Dixie Hwy
Suite 100
Louisville, KY 40216-1727
Phone (502) 447-3338

571 S Floyd St
Louisville, KY 40202-3818
Phone (502) 629-2398

Hospital & facility affiliations

  • UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Hospital, Louisville, KY, CCN 180040
  • Uofl Health - Shelbyville Hospital Hospital, Shelbyville, KY, CCN 180016

Merit-based Incentive Payment System (MIPS)

Final score
78.96 of 100Reported as group
Quality
56.12
Promoting interoperability
100
Improvement activities
40
Cost
73.73

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA2311KYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. CurrentSince Nov 1, 2023 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Nov 1, 2023 Accepting new patients
University of Louisville Physicians, Inc. Past Accepting new patients
Ebo MRI, LLC Past Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

200 Missouri Ave
Jeffersonvlle, IN 47130
Phone (812) 920-0055

913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

4331 Churchman Ave
Ste 101
Louisville, KY 40215
Phone (502) 364-0902

201 Abraham Flexner Way
Ste 100
Louisville, KY 40202
Phone (502) 587-8222

Interoperability endpoints

  • Direct secure messaging: jstreet38962@uoflhealth-dm.org

Organizations & group practices 8

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 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1861640104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402010909",
            "telephone_number": "502-588-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 ABRAHAM FLEXNER WAY STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402023841",
            "telephone_number": "502-587-8222",
            "fax_number": "502-587-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STREET",
        "first_name": "JENNIFER",
        "middle_name": "RUTH",
        "name_prefix": "Mrs.",
        "credential": "MS, PA-C, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-28",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA2311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100491200",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300047016",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.