Active NPI
Jennifer Ellen Stivers, MD
- Obstetrics & Gynecology Physician
- Danville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 42743
- Practice address
- 333 S 3Rd St
Suite a
Danville, KY 40422-2016 - Phone
- (859) 236-7712
- NPI assigned
- Nov 13, 2007
- Last updated
- Jun 16, 2023
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 42743 | KY | Primary |
Addresses
Primary practice location
333 S 3Rd St
Suite a
Danville, KY 40422-2016
Mailing address
PO Box 1080
Burkesville, KY 42717-1080
Phone (270) 858-6655
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100078700 | Medicaid | KY | |
| 11982653 | Other | CAQH |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Kentucky College of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cumberland Family Medical Center Inc
Practice addresses (Care Compare)
109 Daniel Dr
Danville, KY 40422-2527
Phone (859) 236-3361
120 Daniel Dr
Danville, KY 40422-2527
Phone (859) 239-5570
124 Daniel Dr
Danville, KY 40422-2527
Phone (859) 239-5570
130 Daniel Dr
Danville, KY 40422-2527
Phone (859) 236-2222
333 S 3Rd St
Danville, KY 40422-2016
Phone (859) 236-7712
360 Keen St
Burkesville, KY 42717-7915
Phone (270) 864-2889
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ephraim McDowell Health Resource, Inc | Current | Accepting new patients | |
| Cumberland Family Medical Center Inc | Current | Accepting new patients | |
| Ephraim McDowell Health Resource, Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Cumberland Family Medical Center Inc | Current | Accepting new patients | |
| Ephraim McDowell Regional Medical Center Incorporated | Past | Accepting new patients |
Locations
360 Keen St
Burkesville, KY 42717
Phone (270) 864-1472
217 S 3rd St
Danville, KY 40422
Phone (859) 239-1000
333 S 3rd St
Danville, KY 40422
Phone (606) 236-7712
333 S 3rd St
Ste A
Danville, KY 40422
Phone (859) 236-7712
Organizations & group practices 6
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.
-
dba Danville Family Physicians
- Family Medicine Physician
- Danville, KY
- NPI 1487708533
-
dba Cumberland Family Medical Center
- Federally Qualified Health Center (FQHC)
- Burkesville, KY
- NPI 1306873500
-
dba Metcalfe County Middle Healthy Kids Clinic
- Federally Qualified Health Center (FQHC)
- Edmonton, KY
- NPI 1548953672
-
dba Ephraim McDowell Specialty Services
- Endocrinology, Diabetes & Metabolism Physician
- Danville, KY
- NPI 1174484463
-
dba Ephraim McDowell Behavioral Health
- Specialist
- Danville, KY
- NPI 1386982791
Obstetrics & Gynecology
-
- General Acute Care Hospital
- Danville, KY
- NPI 1821135963
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Kids Can Do
- Rehabilitation Hospital Unit
- Danville, KY
- NPI 1639360472
-
- General Acute Care Hospital
- Danville, KY
- NPI 1821135963
-
- Critical Access Hospital
- Harrodsburg, KY
- NPI 1902862824
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686873600000",
"number": "1891975363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1080",
"city": "BURKESVILLE",
"state": "KY",
"postal_code": "427171080",
"telephone_number": "270-858-6655",
"fax_number": "270-858-4607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 S 3RD ST",
"address_2": "SUITE A",
"city": "DANVILLE",
"state": "KY",
"postal_code": "404222016",
"telephone_number": "859-236-7712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STIVERS",
"first_name": "JENNIFER",
"middle_name": "ELLEN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-13",
"last_updated": "2023-06-16",
"certification_date": "2023-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "KY",
"license": "42743",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100078700",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11982653",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Danville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.