Active NPI
John M. Joerling, FNP
- Family Nurse Practitioner
- Monticello, KY
National Provider Identifier
1932169752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3002658
- Practice address
- 166 Hospital St
Monticello, KY 42633-2416 - Phone
- (606) 340-3251
- Fax
- (606) 340-3266
- NPI assigned
- Mar 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 8377 | TN | |
| Family Nurse Practitioner | 363LF0000X | 3002658 | KY | Primary |
Addresses
Primary practice location
166 Hospital St
Monticello, KY 42633-2416
Mailing address
166 Hospital St
Monticello, KY 42633-2416
Phone (606) 340-3251
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TN0110 | Other | TN | JOHN DEERE INS. |
| 3648690 | Medicaid | TN | |
| 78006814 | Medicaid | KY | |
| 100042005 | Other | TN | PHP TNCARE |
| 4100819 | Other | TN | BCBS |
| 357403 | Other | KY | ANTHEM BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3002658 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anciro PSC | Past | Accepting new patients | |
| Attentus of Scott County, LLC | Family | Past | Accepting new patients |
| Emergency Coverage Services, PC | Past | Accepting new patients | |
| Scott County Medical Clinic Inc | Past | Accepting new patients |
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.
-
- Family Medicine Physician
- Somerset, KY
- NPI 1932118916
-
- Family Nurse Practitioner
- Oneida, TN
- NPI 1528029683
-
- Nurse Practitioner
- Lawrenceburg, TN
- NPI 1053351593
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Oneida, TN
- NPI 1033282405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332374400000",
"number": "1932169752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "166 HOSPITAL ST",
"city": "MONTICELLO",
"state": "KY",
"postal_code": "426332416",
"telephone_number": "606-340-3251",
"fax_number": "606-340-3266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "166 HOSPITAL ST",
"city": "MONTICELLO",
"state": "KY",
"postal_code": "426332416",
"telephone_number": "606-340-3251",
"fax_number": "606-340-3266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOERLING",
"first_name": "JOHN",
"middle_name": "M.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2012-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "8377",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3002658",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE INS.",
"identifier": "TN0110",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3648690",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "78006814",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHP TNCARE",
"identifier": "100042005",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4100819",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "357403",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monticello, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.