Jeanie L Wadlington, APRN
Individual provider Active NPI Family Nurse Practitioner · Trenton, KY
NPI 1861974495 · NPPES record last updated Aug 10, 2020
Key facts
- NPI
- 1861974495
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 3012634 (KY)
- Practice address
- 120 N Main St
Trenton, KY 42286-9734 - Phone
- (270) 466-9300
- NPI assigned
- Aug 30, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Infinity Family Care, PLLC
Practice addresses (Care Compare)
104 Commerce St
Cadiz, KY 42211-9780
Phone (270) 871-0721
Hospital & facility affiliations
- Caretenders
- Lifeline Home Health of Western Kentucky
- Trigg County Hospital
- Jennie Stuart Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181106002412 | KY | Practitioner - Nurse Practitioner | 3375897572 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3012634 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trigg County Hospital, Inc | Current |
Accepting new patients | |
| Trigg County Hospital, Inc | Current |
Accepting new patients | |
| Infinity Family Care, PLLC | Current |
Accepting new patients |
Locations
104 Commerce St
Cadiz, KY 42211
Phone (270) 522-7867
254 Main St
Cadiz, KY 42211
Phone (270) 522-3215
Interoperability endpoints
- jeanie.wadlington.1@24500.direct.athenahealth.com
- https://api.platform.athenahealth.com/24500/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3012634 | KY | Yes |
Addresses
Primary practice location
120 N Main St
Trenton, KY 42286-9734
Mailing address
1660 Long Ford Bridge Road
Cadiz, KY 42211
Phone (270) 348-0664
Other practice location 1
10755 Eagle Way Ste 100
Hopkinsville, KY 42240-8742
Phone (270) 887-6813
Other providers in Trenton, KY
- Mychal Elizabeth Cox
- Fairview Physicians Network, LLC
- Jennie Stuart Medical Center Inc
- Will Allen Osborn
- Trenton Clinic, LLC
All providers in Trenton, KY · Family Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.