Individual provider Active NPI

Jessica Marshall, D.O.

  • Family Medicine Physician
  • Bardstown, KY
National Provider Identifier
1992142632
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04026 Issued in KY
Practice address
3615 E John Rowan Blvd Ste 104
Bardstown, KY 40004-3264
Phone
(502) 348-5968
Fax
(270) 706-5802
NPI assigned
Jun 3, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X TP304 KY
Emergency Medicine Physician 207P00000X 34.011572 OH
Family Medicine Physician 207Q00000X 02006655A IN
Family Medicine Physician 207Q00000X 04026 KY Primary

Addresses

Primary practice location

3615 E John Rowan Blvd Ste 104
Bardstown, KY 40004-3264

Mailing address

4305 New Shepherdsville Rd
Bardstown, KY 40004-1299
Phone (502) 350-5000

Other practice location 1

4305 New Shepherdsville Rd
Bardstown, KY 40004
Phone (502) 350-5000

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161116001961 KY Practitioner - Family PracticePractitioner - Emergency Medicine 3274756549 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Ohio University, College of Osteopathic Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, shared by 31 NPIs, 2,431 clinicians

Practice addresses (Care Compare)

3615 E John Rowan Blvd
Bardstown, KY 40004-3264
Phone (502) 348-5968

96 Future Dr
Corbin, KY 40701-8988
Phone (606) 528-0305

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
TP304KYMDEmergency Medicine Physician
34.011572OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Oct 1, 2016 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jul 1, 2025 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jul 1, 2025 Accepting new patients

Locations

4305 New Shepherdsville Rd
Bardstown, KY 40004
Phone (502) 350-5000

3615 E John Rowan Blvd
Ste 104
Bardstown, KY 40004
Phone (502) 331-4734

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

96 Future Dr
Corbin, KY 40701

1901 Campus Pl
Louisville, KY 40299
Phone (502) 253-4911

Organizations & group practices 3

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 5

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": "1370217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1992142632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4305 NEW SHEPHERDSVILLE RD",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400041299",
            "telephone_number": "502-350-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 E JOHN ROWAN BLVD STE 104",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400043264",
            "telephone_number": "502-348-5968",
            "fax_number": "270-706-5802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4305 New Shepherdsville Rd",
            "address_purpose": "LOCATION",
            "city": "Bardstown",
            "state": "KY",
            "postal_code": "40004",
            "country_code": "US",
            "telephone_number": "502-350-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "JESSICA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-03",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "TP304",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34.011572",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02006655A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "04026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bardstown, KY

Sources for this page

Verify at the official NPI Registry.