Jerrica Duty, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3017938 Issued in KY

Practice address

540 Jett Dr
Jackson, KY 41339-9622

Phone

(606) 666-6137

NPI assigned

Jun 20, 2022

Sex

Female

Sole proprietor

No

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.

• Jackson Hospital Corporation

  • Nurse Practitioner
  • Beattyville, KY
  • NPI 1992044747

  KY

  Medicare reassignment Care Compare group NPD
• Jackson Physician Corp

  • General Practice Physician
  • Jackson, KY
  • NPI 1841234671

  Family, KY

  Medicare reassignment NPD
• Mountain After Hours Clinic PSC

  • Rural Health Clinic/Center
  • Hazard, KY
  • NPI 1477638880

  KY

  Medicare reassignment NPD
• Jackson Hospital Corporation

  • Medicare Defined Swing Bed Hospital Unit
  • Jackson, KY
  • NPI 1295985596
  Care Compare group NPD
• Jackson Hospital Corporation

  • Rural Health Clinic/Center
  • Beattyville, KY
  • NPI 1083950414
  Care Compare group NPD (past)
• Jackson Hospital Corporation

  • Rural Health Clinic/Center
  • Jackson, KY
  • NPI 1912518978
  Care Compare group NPD (past)
• Jackson Hospital Corporation

  • Critical Access Hospital
  • Jackson, KY
  • NPI 1346247962
  Care Compare group
• Jackson Hospital Corporation

  • Family Medicine Physician
  • Campton, KY
  • NPI 1750626339
  NPD
• Jackson Physician Corp

  • Durable Medical Equipment & Medical Supplies
  • Jackson, KY
  • NPI 1063712701
  NPD

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

• Jackson Hospital Corporation

  • Critical Access Hospital
  • Jackson, KY
  • NPI 1346247962

  Hospital

  Care Compare affiliation

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jackson Hospital Corporation 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kentucky River Medical Center Hospital, Jackson, KY, CCN 181334

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jerrica.duty.1@1885.direct.athenahealth.com
• Direct secure messaging: jduty140@yourcarecommunity.org
• FHIR API: https://fhir4.healow.com/fhir/r4/AIEDDD
• Direct secure messaging: jerrica.duty.2@1885.direct.athenahealth.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 20, 2022.

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1992436166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 PINE HILL DR",
            "city": "JACKSON",
            "state": "KY",
            "postal_code": "413399682",
            "telephone_number": "606-548-0745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 JETT DR",
            "city": "JACKSON",
            "state": "KY",
            "postal_code": "413399622",
            "telephone_number": "606-666-6137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUTY",
        "first_name": "JERRICA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-20",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3017938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Beverly Dawn Ellis, APRN
• Tara Epperson, LCSW
• Eyemart Family Vision Care Inc
• Family Medical Specialty Clinic D.B.a.

• All providers in Jackson, KY
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; 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.