JESSICA NICOLE KING – Family Nurse Practitioner, NPI 1124671490

JESSICA NICOLE KING is a healthcare provider. based in Corydon, Indiana. specializing in Family Nurse Practitioner. They hold a License No. 71009399A (IN). The NPI Number for JESSICA NICOLE KING is 1124671490

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA NICOLE KING
NPI
1124671490
Phone
Not provided
Address
1141 HOSPITAL DR NW
Enumeration Date
16 July 2019
Last Update Date
2 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8127387865
Graduation Year
2019 (7 years ago)
PAC ID
9537490024
Group Practice PAC ID
9032007208
Professional Enrollment ID
I20191015001301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

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Provider Addresses for JESSICA NICOLE KING

  • Harrison County Hospital, 1141, Hospital Drive Northwest, Corydon, Harrison County, Indiana, 47112, United States

    CORYDON, IN 471121774

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $75.

Total Amount is formed as General ($75) + Research ($0) + Ownership ($0) = $75.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: ABIOMED ($75).

Total Amount

$75

General + Research + Ownership

Payments

2

Total payment records

General Amount

$75

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABIOMED$75
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-10-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201001001332INurse PractitionerKYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 47112)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9032007208View full group profile
NameSpecialtyState
Family Practice, Sports MedicineIN
Certified Registered Nurse Anesthetist (Crna)KY
Family PracticeIN
-KY
-IN
-IN
Nurse PractitionerIN
Family PracticeIN
Orthopedic SurgeryIN
General SurgeryKY

Reviews

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Frequently asked questions

What federal number belongs to JESSICA NICOLE KING?
The federal identifier for JESSICA NICOLE KING is NPI 1124671490.
Is JESSICA NICOLE KING's NPI currently valid?
The extract we use shows JESSICA NICOLE KING as active.
Can you summarize JESSICA NICOLE KING's specialty in plain language?
Clinically, the directory lists JESSICA NICOLE KING with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does JESSICA NICOLE KING practice in Indiana?
You will see Corydon, Indiana on file for JESSICA NICOLE KING alongside any extra practice locations.
What if Corydon, Indiana seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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