Individual provider Active NPI

Jessica Wren Deis, APRN, CNM, WHNP-BC

  • Women's Health Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1932669306
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
3014953 Issued in KY
Practice address
268 Southland Dr Ste 120
Lexington, KY 40503-1938
Phone
(859) 328-6410
NPI assigned
Mar 22, 2019
Last updated
Sep 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X KY
Advanced Practice Midwife 367A00000X R241288 MD
Advanced Practice Midwife 367A00000X 09000401C IN
Women's Health Nurse Practitioner 363LW0102X 3014953 KY Primary

Addresses

Primary practice location

268 Southland Dr Ste 120
Lexington, KY 40503-1938

Mailing address

268 Southland Dr Ste 120
Lexington, KY 40503-1938

Other practice location 1

842 S 7th St
Louisville, KY 40203-2149
Phone (502) 205-9160

Other practice location 2

412 New Albany Plz
New Albany, IN 47150-4656
Phone (812) 945-4844

Other identifiers 1

IdentifierTypeStateIssuer
119591300MedicaidMD

Other names 1

  • Ms. Jessica McGrath Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201008001133 KY Practitioner - Nurse Practitioner 4183958473 Reassigns benefits to 1 organization
I20220823001176 IN Practitioner - Certified Nurse Midwife (CNM) 4183958473 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

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
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
R241288MDMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Journey Midwives, LLC Advanced Practice Midwife Current Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Jul 28, 2022 Accepting new patients
University of Louisville Physicians, Inc. Current Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Jul 28, 2022 Accepting new patients
Indiana University Health Care Associates, Inc CurrentSince Aug 1, 2022 Accepting new patients
Empower Health and Hormones Women's Health Current Accepting new patients
Major Hospital Past Accepting new patients
Planned Parenthood Great Northwest, Hawai'I, Alaska, Indiana, Kentucky Women's Health Past Accepting new patients
Park Duvalle Community Health Center, Inc PastSince Aug 1, 2020 Accepting new patients
University Medical Diagnostic Associates, Inc. Past Accepting new patients

Locations

5208 Reliable Pkwy
Chicago, IL 60686

7752 Solution Ctr
Chicago, IL 60677

1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

705 Riley Hospital Dr
Indianapolis, IN 46202
Phone (317) 274-4779

401 E Chestnut St
Louisville, KY 40202
Phone (502) 588-4400

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

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1932669306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 SOUTHLAND DR STE 120",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 SOUTHLAND DR STE 120",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031938",
            "telephone_number": "859-328-6410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "842 S 7th St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402032149",
            "country_code": "US",
            "telephone_number": "502-205-9160",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "412 New Albany Plz",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "IN",
            "postal_code": "471504656",
            "country_code": "US",
            "telephone_number": "812-945-4844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEIS",
        "first_name": "JESSICA",
        "middle_name": "WREN",
        "name_prefix": "Ms.",
        "credential": "APRN, CNM, WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-22",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MD",
            "license": "R241288",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IN",
            "license": "09000401C",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "KY",
            "license": "3014953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119591300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "MCGRATH",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.