NATALIE WISE JEFFRIES (PA-C) – Physician Assistant, NPI 1780139295

NATALIE WISE JEFFRIES (PA-C) is a healthcare provider. based in Louisville, Kentucky. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for NATALIE WISE JEFFRIES (PA-C) is 1780139295

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
NATALIE WISE JEFFRIES (PA-C)
NPI
1780139295
Phone
(502) 364-0902
Address
4331 CHURCHMAN AVE
Enumeration Date
25 August 2016
Last Update Date
30 July 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5022864644
Graduation Year
2016 (10 years ago)
PAC ID
9436447596
Group Practice PAC ID
9739416611
Professional Enrollment ID
I20161005003095
Address ID
KY402581140LO8442XHWYX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:9State licenses:0Digital endpointsOther names

1,728 PHYSICIAN ASSISTANT in KY

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Provider Addresses for NATALIE WISE JEFFRIES (PA-C)

  • 4331, Churchman Avenue, Louisville, Jefferson County, Kentucky, 40215, United States

    STE 101

    LOUISVILLE, KY 402151164

    Phone: (502) 364-0902

    Fax: (502) 364-0099

    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 12 Open Payments records for all available years, with a total value of $273.

Total Amount is formed as General ($273) + Research ($0) + Ownership ($0) = $273.

Last reported payment date: 2024-09-19 • Largest payer in this snapshot: Vanda Pharmaceuticals Inc. ($116).

Total Amount

$273

General + Research + Ownership

Payments

12

Total payment records

General Amount

$273

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-19

Latest reported date

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: 2016-10-05

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
I20161005003095IPhysician AssistantKYTBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg2,280186$0
20610Aspiration and/or injection of fluid from large joint491182$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes360148$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes11179$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes6934$0
View full utilization report →

Insurance plans in this area (ZIP 40215)

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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: 9739416611View full group profile
NameSpecialtyState
Physician AssistantKY
Physician AssistantKY

Reviews

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Frequently asked questions

What number should I use to identify NATALIE WISE JEFFRIES (PA-C) for billing?
Administrative and clinical systems typically use NPI 1780139295 for NATALIE WISE JEFFRIES (PA-C).
Is NATALIE WISE JEFFRIES (PA-C)'s NPI status active today?
Active status means NATALIE WISE JEFFRIES (PA-C)'s NPI record is not deactivated in the public file.
What does the directory say NATALIE WISE JEFFRIES (PA-C) does?
Insurance directories may phrase it differently, but here NATALIE WISE JEFFRIES (PA-C) maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to NATALIE WISE JEFFRIES (PA-C)?
NATALIE WISE JEFFRIES (PA-C) is associated with Louisville, Kentucky in the same public data insurers reference.
Who maintains NATALIE WISE JEFFRIES (PA-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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