Individual provider Active NPI

Jerrica Duty, APRN

  • Family Nurse Practitioner
  • Jackson, KY
National Provider Identifier
1992436166
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
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
Last updated
Jun 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3017938 KY Primary

Addresses

Primary practice location

540 Jett Dr
Jackson, KY 41339-9622

Mailing address

256 Pine Hill Dr
Jackson, KY 41339-9682
Phone (606) 548-0745

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
I20220706002515 KY Practitioner - Nurse Practitioner 0244610475 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jackson Hospital CorporationGroup PAC ID 0345134318, 12 clinicians

Practice addresses (Care Compare)

424 Jett Dr
Jackson, KY 41339-9621
Phone (606) 666-6600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3017938KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Physician Corp CurrentSince Sep 13, 2023 Accepting new patients
Jackson Hospital Corporation CurrentSince May 22, 2023 Accepting new patients
Mountain After Hours Clinic PSC CurrentSince Jun 16, 2022 Accepting new patients
Jackson Hospital Corporation CurrentSince May 22, 2023 Accepting new patients
Jackson Physician Corp Family CurrentSince Sep 13, 2023 Accepting new patients
Jackson Hospital Corporation Current Accepting new patients
Jackson Hospital Corporation PastSince Aug 23, 2020 Accepting new patients

Locations

1908 N Main St
Ste 120
Hazard, KY 41701

210 Black Gold Blvd
Ste 106
Hazard, KY 41701
Phone (606) 436-0711

424 Jett Dr
Jackson, KY 41339
Phone (606) 666-2960

540 Jett Dr
Jackson, KY 41339
Phone (606) 666-4971

Interoperability endpoints

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

Organizations & group practices 7

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": "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": []
}

Other providers in Jackson, KY

Sources for this page

Verify at the official NPI Registry.