Jonathan Michael Robertson, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

3012416 Issued in KY

Practice address

1301 N Race St
Glasgow, KY 42141-3483

Phone

(270) 651-4444

Fax

(270) 651-4892

NPI assigned

Jun 18, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KY, TN2 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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southeastern Physician Services PCGroup PAC ID 0042307852, 591 clinicians

T J Samson Community HospitalGroup PAC ID 0648182600, 197 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• T J Samson Community Hospital Hospital, Glasgow, KY, CCN 180017
• TJ Health Columbia Hospital, Columbia, KY, CCN 180149

Merit-based Incentive Payment System (MIPS)

Final score

86.3 of 100Reported as group

Quality

74.59

Promoting interoperability

100

Improvement activities

40

Cost

68.87

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jonathan.robertson@tjrh.cernerdirect.com

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.

• T J Samson Community Hospital

  • Family Medicine Physician
  • Glasgow, KY
  • NPI 1477609865

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Southeastern Physician Services PC

  • Hospitalist Physician
  • Oak Ridge, TN
  • NPI 1083835441

  KY, Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• App of Tennessee HM, PLLC

  • Hospitalist Physician
  • Shelbyville, TN
  • NPI 1396160768

  Nurse Practitioner

  Medicare reassignment NPD
• T J Samson Community Hospital

  • Rural Health Clinic/Center
  • Cave City, KY
  • NPI 1629429360
  NPD
• T J Samson Community Hospital

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Glasgow, KY
  • NPI 1922343300
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• T J Health Columbia Inc

  • General Acute Care Hospital
  • Columbia, KY
  • NPI 1134585656
  Care Compare affiliation
• T J Samson Community Hospital

  • Family Medicine Physician
  • Glasgow, KY
  • NPI 1477609865

  Hospital

  Care Compare affiliation
• T J Samson Community Hospital

  • General Acute Care Hospital
  • Glasgow, KY
  • NPI 1770581894
  Care Compare affiliation

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1932693504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 N RACE ST",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421413483",
            "telephone_number": "270-651-4444",
            "fax_number": "270-651-4892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 N RACE ST",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421413483",
            "telephone_number": "270-651-4444",
            "fax_number": "270-651-4892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "JONATHAN",
        "middle_name": "MICHAEL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-18",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "31293",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3012416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100538040",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN STATE LICENSE",
            "identifier": "3012416",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jonathan.Robertson@tjrh.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1301 N Race St",
            "city": "Glasgow",
            "state": "KY",
            "country_code": "US",
            "postal_code": "421413483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Matthew Douglas Riley, DMD
• Rania Rizkalla
• Melissa Annette Roach, LPCA
• John Michael Robbins, PH.D., LMFT
• Robert F. Pelham, B.S.D.C.PSC
• Rocky Mountain Holdings, LLC
• Jessalyn Rodriguez
• Phillip Roper, PHARM D
• Krista Michael Ross, PHARM. D
• Hillary Rush, M.S., CCC-SLP

• Nurse Practitioner in Glasgow, KY
• Providers in Glasgow, KY by specialty
• Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.

Verify at the official NPI Registry.