JACOB DUDLEY COFFEY (FNP-C) – Nurse Practitioner, NPI 1194232207

JACOB DUDLEY COFFEY (FNP-C) is a healthcare provider. based in Monticello, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 3011991 (KY). The NPI Number for JACOB DUDLEY COFFEY (FNP-C) is 1194232207

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
JACOB DUDLEY COFFEY (FNP-C)
NPI
1194232207
Phone
(606) 348-3365
Address
1 S CREEK DR STE 102606
Enumeration Date
10 January 2018
Last Update Date
11 December 2020

Doctor Profile

Medical School Name
LINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Secondary Phone
60634833658
Graduation Year
2017 (9 years ago)
PAC ID
0244594109
Group Practice PAC ID
2062409154
Professional Enrollment ID
I20180501002823
Address ID
KY426339472MO1XXXXDRXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

7,347 NURSE PRACTITIONER in KY

Loading map...

Provider Addresses for JACOB DUDLEY COFFEY (FNP-C)

  • Crescent Drive, Monticello, Jones County, Iowa, 52310, United States

    MONTICELLO, KY 42633

    Phone: (606) 348-3365

    Fax: (606) 343-0067

    Type: Location

  • 305 Langdon St

    Somerset, KY 425032750

    Phone: (606) 679-7441

    Type: Location

  • 75 Hail Knob Rd

    Somerset, KY 425033434

    Phone: (606) 678-9617

    Type: Location

  • 102, Crescent Drive, Monticello, Jones County, Iowa, 52310, United States

    MONTICELLO, KY 426339472

    Phone: (606) 348-3365

    Fax: (606) 343-0067

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $224.

Total Amount is formed as General ($224) + Research ($0) + Ownership ($0) = $224.

Last reported payment date: 2024-11-01 • Largest payer in this snapshot: ABBVIE INC. ($110).

Total Amount

$224

General + Research + Ownership

Payments

11

Total payment records

General Amount

$224

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-01

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2018-05-01

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
I20180501002823INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count13070$0
80053Blood test, comprehensive group of blood chemicals12269$0
36415Insertion of needle into vein for collection of blood sample8444$0
80061Blood test, lipids (cholesterol and triglycerides)5339$0
82570Creatinine level to test for kidney function or muscle injury4025$0
View full utilization report →

Insurance plans in this area (ZIP 42633)

Loading plans...

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: 2062409154View full group profile
NameSpecialtyState
Nurse PractitionerKY
Nurse PractitionerKY
-KY
Internal MedicineKY
Nurse PractitionerKY
Nurse PractitionerKY
-KY
Nurse PractitionerKY
-KY
Internal MedicineKY

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Does JACOB DUDLEY COFFEY (FNP-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JACOB DUDLEY COFFEY (FNP-C) uses 1194232207.
Does the file indicate JACOB DUDLEY COFFEY (FNP-C) is practicing under active NPI?
Directory data currently reports JACOB DUDLEY COFFEY (FNP-C) as active.
What taxonomy line describes JACOB DUDLEY COFFEY (FNP-C)?
For research purposes, treat JACOB DUDLEY COFFEY (FNP-C) as Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What area does JACOB DUDLEY COFFEY (FNP-C) serve?
JACOB DUDLEY COFFEY (FNP-C)'s listing highlights Monticello, Kentucky; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

Similar Providers

SHERYL E POLK (ARNP)

Nurse Practitioner
Crescent Drive, Monticello, Jones County, Iowa, 52310, United States
NPI: 1578554978

WAYNE COUNTY HOSPITAL, INC

Critical Access Hospital
1 S Creek Dr Ste 112
NPI: 1871548016
102, Crescent Drive, Monticello, Jones County, Iowa, 52310, United States
NPI: 1659327591
Wayne County Hospital, 166, Hospital Street, Monticello, Wayne County, Kentucky, 42633, United States
NPI: 1841239332

CUMBERLAND GASTROENTEROLOGY, P.S.C.

Gastroenterology Physician
1 SOUTHCREEK DRIVE
NPI: 1720160526

T J SAMSON COMMUNITY HOSPITAL

Family Medicine Physician
T.J. Samson Community Hospital, 1301, North Race Street, Glasgow, Barren County, Kentucky, 42141, United States
NPI: 1477609865

JENNIFER J WEST (APRN)

Family Nurse Practitioner
19 MEDICAL LOOP STE 3
NPI: 1184852659

SANDRA LEE BRASWELL (APRN)

Nurse Practitioner
126 FRANKLIN DRIVE
NPI: 1700186343