JESSICA CARPENTER (APRN) – Family Nurse Practitioner, NPI 1225640022

JESSICA CARPENTER (APRN) is a healthcare provider. based in Mount vernon, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 3014769 (KY). The NPI Number for JESSICA CARPENTER (APRN) is 1225640022

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA CARPENTER (APRN)
NPI
1225640022
Phone
Not provided
Address
140 NEWCOMB AVE
Enumeration Date
21 August 2020
Last Update Date
27 August 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2020 (6 years ago)
PAC ID
1951720242
Group Practice PAC ID
6103727433
Professional Enrollment ID
I20201006002775
Address ID
KY404562728MO145XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

7,347 NURSE PRACTITIONER in KY

Provider Addresses for JESSICA CARPENTER (APRN)

  • 140 NEWCOMB AVE

    MOUNT VERNON, KY 404562725

    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 26 Open Payments records for all available years, with a total value of $530.

Total Amount is formed as General ($530) + Research ($0) + Ownership ($0) = $530.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($208).

Total Amount

$530

General + Research + Ownership

Payments

26

Total payment records

General Amount

$530

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2020-10-06

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
I20201006002775INurse 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 40456)

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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: 6103727433View full group profile
NameSpecialtyState
Physician AssistantKY
Nurse PractitionerKY
Nurse PractitionerKY
Clinical Social WorkerKY
Hematology/Oncology, Internal MedicineKY
Physician AssistantKY
N E U R O L O G YKY
-KY
Physician AssistantKY
-KY

Reviews

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Frequently asked questions

Is there an official ID for JESSICA CARPENTER (APRN) in U.S. healthcare records?
The official identifier for JESSICA CARPENTER (APRN) is NPI 1225640022.
Would JESSICA CARPENTER (APRN) appear as active to a payer?
You can treat JESSICA CARPENTER (APRN) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to JESSICA CARPENTER (APRN)?
JESSICA CARPENTER (APRN)'s specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JESSICA CARPENTER (APRN)?
Travel planning: use Mount Vernon, Kentucky as the reference point for JESSICA CARPENTER (APRN), then confirm.
When was this NPI issued?
Enumeration for JESSICA CARPENTER (APRN) is noted as August 21, 2020 where the registry provides it.

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