MRS. EMILY TABOR JESSIE (APRN) – Family Nurse Practitioner, NPI 1306204490

MRS. EMILY TABOR JESSIE (APRN) is a healthcare provider. based in Glasgow, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 3010029 (KY). The NPI Number for MRS. EMILY TABOR JESSIE (APRN) is 1306204490

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
MRS. EMILY TABOR JESSIE (APRN)
NPI
1306204490
Phone
(270) 651-4444
Address
1301 N RACE ST
Enumeration Date
3 February 2016
Last Update Date
1 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2702373123
Graduation Year
2015 (11 years ago)
PAC ID
7113284100
Group Practice PAC ID
7113224783
Professional Enrollment ID
I20171129002002
Address ID
KY421649602SC1084XHWYX400

Contacts

Secure Messaging
Emily.Jessie@tjsamson.direct-ci.net
Secure Messaging
Emily.Jessie@tjrh.cernerdirect.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness85
Years active:10State licenses:1Other namesUpdated within 12 months

7,343 NURSE PRACTITIONER in KY

Provider Addresses for MRS. EMILY TABOR JESSIE (APRN)

  • T.J. Samson Community Hospital, 1301, North Race Street, Glasgow, Barren County, Kentucky, 42141, United States

    GLASGOW, KY 421413454

    Phone: (270) 651-4444

    Type: Mailing

  • 1084 VETERANS MEMORIAL HWY

    SCOTTSVILLE, KY 421649602

    Phone: (702) 373-1232

    Fax: (270) 237-3139

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 105 Open Payments records for all available years, with a total value of $1,651.

Total Amount is formed as General ($1,651) + Research ($0) + Ownership ($0) = $1,651.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($458).

Total Amount

$1,651

General + Research + Ownership

Payments

105

Total payment records

General Amount

$1,651

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

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: 2017-11-29

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
I20171129002002INurse 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 42141)

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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: 7113224783View full group profile
NameSpecialtyState
Nurse PractitionerKY
P O D I A T R YKY
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
O B S T E T R I C S/ G Y N E C O L O G YKY
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
Family PracticeKY

Reviews

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Frequently asked questions

How do payers reference MRS. EMILY TABOR JESSIE (APRN)?
For MRS. EMILY TABOR JESSIE (APRN), use NPI 1306204490 as the unique 10-digit identifier.
Is MRS. EMILY TABOR JESSIE (APRN) shown as active in public data?
Registry records indicate MRS. EMILY TABOR JESSIE (APRN) maintains an active NPI.
What area of care is associated with MRS. EMILY TABOR JESSIE (APRN)?
MRS. EMILY TABOR JESSIE (APRN)'s record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with MRS. EMILY TABOR JESSIE (APRN)?
Directory geography for MRS. EMILY TABOR JESSIE (APRN) centers on Glasgow, Kentucky.
When was this NPI issued?
Enumeration for MRS. EMILY TABOR JESSIE (APRN) is noted as February 3, 2016 where the registry provides it.

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