Individual provider Active NPI

Jessica Lynne Henry, DNP, FNP-BC

  • Family Nurse Practitioner
  • Nicholasville, KY
National Provider Identifier
1912320128
Registry record updated Jun 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3008476 Issued in KY
Practice address
610 E Brannon Rd Ste 100
Nicholasville, KY 40356-6065
Phone
(859) 260-5540
NPI assigned
Jan 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2024

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 3008476 KY Primary

Addresses

Primary practice location

610 E Brannon Rd Ste 100
Nicholasville, KY 40356-6065

Mailing address

415 Fairholme Way
Winchester, KY 40391-8364

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
I20151014000998 KY Practitioner - Nurse Practitioner 7517276538 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

610 E Brannon Rd
Nicholasville, KY 40356-6066
Phone (859) 260-5540

Hospital & facility affiliations

  • Baptist Health Lexington Hospital, Lexington, KY, CCN 180103

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3008476KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Mar 25, 2024 Accepting new patients
Brock Medical, LLC CurrentSince Jul 1, 2017 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Mar 25, 2024 Accepting new patients
Fast Pace Kentucky PLLC CurrentSince Jul 1, 2017 Accepting new patients

Locations

96 Future Dr
Corbin, KY 40701

15100 N US Highway 25 E
Ste 1
Corbin, KY 40701
Phone (606) 261-2054

1649 Highway 192 W
London, KY 40741
Phone (606) 330-0055

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

610 E Brannon Rd
Nicholasville, KY 40356
Phone (859) 260-5540

610 E Brannon Rd
Ste 100
Nicholasville, KY 40356
Phone (859) 260-5540

648 University Shopping Ctr
Richmond, KY 40475
Phone (859) 623-1950

480 Bullion Blvd
Winchester, KY 40391
Phone (859) 385-4222

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1390435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717200000000",
    "number": "1912320128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 FAIRHOLME WAY",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403918364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 E BRANNON RD STE 100",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403566065",
            "telephone_number": "859-260-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "JESSICA",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-23",
        "last_updated": "2024-06-01",
        "certification_date": "2024-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3008476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nicholasville, KY

Sources for this page

Verify at the official NPI Registry.