JENNIFER NICOLE PROFFITT (APRN) – Family Nurse Practitioner, NPI 1760638456

JENNIFER NICOLE PROFFITT (APRN) is a healthcare provider. based in Tompkinsville, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 3005691 (KY). The NPI Number for JENNIFER NICOLE PROFFITT (APRN) is 1760638456

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER NICOLE PROFFITT (APRN)
NPI
1760638456
Phone
(270) 487-9272
Address
1515 EDMONTON RD
Enumeration Date
13 August 2008
Last Update Date
12 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2704879272
Graduation Year
2008 (18 years ago)
PAC ID
2860553377
Group Practice PAC ID
6305947789
Professional Enrollment ID
I20081202000795
Address ID
KY421679402TO1515XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

7,343 NURSE PRACTITIONER in KY

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Provider Addresses for JENNIFER NICOLE PROFFITT (APRN)

  • 1515, Edmonton Road, Grandview, Tompkinsville, Monroe County, Kentucky, 42167, United States

    TOMPKINSVILLE, KY 421679402

    Phone: (270) 487-9272

    Fax: (270) 487-6242

    Type: Location

  • PO BOX 1080

    BURKESVILLE, KY 427171080

    Phone: (270) 864-1472

    Fax: (270) 864-1693

    Type: Mailing

  • 197 WILL WALKER ROAD

    COLUMBIA, KY 427287436

    Phone: (270) 384-9981

    Fax: (270) 384-9989

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 38 Open Payments records for all available years, with a total value of $621.

Total Amount is formed as General ($621) + Research ($0) + Ownership ($0) = $621.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($121).

Total Amount

$621

General + Research + Ownership

Payments

38

Total payment records

General Amount

$621

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2008-12-02

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
I20081202000795INurse 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
81003Automated urinalysis test2721$0
87811Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)2222$0
87428Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza1717$0
View full utilization report →

Insurance plans in this area (ZIP 42167)

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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: 6305947789View full group profile
NameSpecialtyState
Nurse PractitionerKY
Nurse PractitionerKY
Certified Nurse Midwife (Cnm)KY
Clinical Social WorkerKY
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
Certified Nurse Midwife (Cnm)KY
Nurse PractitionerKY

Reviews

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Frequently asked questions

How do I look up JENNIFER NICOLE PROFFITT (APRN) by NPI?
Use NPI 1760638456 when you need to reference JENNIFER NICOLE PROFFITT (APRN) in forms, claims, or directories.
Is JENNIFER NICOLE PROFFITT (APRN)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does JENNIFER NICOLE PROFFITT (APRN) work in?
You can think of JENNIFER NICOLE PROFFITT (APRN) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is JENNIFER NICOLE PROFFITT (APRN)'s primary listing?
We display Tompkinsville, Kentucky because that is what the record indicates for JENNIFER NICOLE PROFFITT (APRN).
What if Tompkinsville, Kentucky seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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