Individual provider Active NPI

Jeffery Allan Hamilton, APRN

  • Primary Care Nurse Practitioner
  • Pendleton, KY
National Provider Identifier
1962097428
Registry record updated Mar 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
3015868 Issued in KY
Practice address
282 Yates LN
Pendleton, KY 40055-7751
Phone
(502) 377-1792
NPI assigned
Mar 6, 2021
Last updated
Mar 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 3015868 KY Primary

Addresses

Primary practice location

282 Yates LN
Pendleton, KY 40055-7751

Mailing address

282 Yates LN
Pendleton, KY 40055-7751
Phone (502) 377-1792

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
I20211015002197 KY Practitioner - Nurse Practitioner 8628476926 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
S Kapoor PLLCGroup PAC ID 6305221334, 3 clinicians

Practice addresses (Care Compare)

2109 Club Vista PL
Louisville, KY 40245-5224
Phone (502) 602-4620

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3015868KYMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Provider Partners Care Management LP CurrentSince Jan 16, 2026 Accepting new patients
SKG Health PLLC CurrentSince Nov 1, 2022 Accepting new patients
S Kapoor PLLC CurrentSince Oct 1, 2022 Accepting new patients
Sangeeta Kapoor, PLLC Past Accepting new patients

Locations

2509 Plantside Dr
Louisville, KY 40299
Phone (502) 830-0321

446 Mount Holly Ave
Louisville, KY 40206
Phone (502) 897-1646

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (410) 967-2097

Organizations & group practices 5

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.

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": "1614988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614988800000",
    "number": "1962097428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "282 YATES LN",
            "city": "PENDLETON",
            "state": "KY",
            "postal_code": "400557751",
            "telephone_number": "502-377-1792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 YATES LN",
            "city": "PENDLETON",
            "state": "KY",
            "postal_code": "400557751",
            "telephone_number": "502-377-1792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "JEFFERY",
        "middle_name": "ALLAN",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-06",
        "last_updated": "2021-03-06",
        "certification_date": "2021-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "KY",
            "license": "3015868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pendleton, KY

Sources for this page

Verify at the official NPI Registry.