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MS. MARIA JONES APRN
NPI 1194793760
Nurse Practitioner - Pediatrics in Lexington, KY

Active since March 09, 2006PECOS Enrolled
551 PARKSIDE DR, LEXINGTON, KY 40505(859) 288-2425(859) 721-3918 Get Directions Write a Review

NPPES record last updated: May 22, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 22, 2019, Mar 28, 2016 (2 updates tracked since 2016).

About Ms. Maria Jones Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MARIA JONES APRN (NPI 1194793760) is an individual pediatrics provider in Lexington, Kentucky, licensed in Kentucky (3004567) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lexington.

NPPES Registry Identity

NPI1194793760
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMS. MARIA JONESCredential: APRN
Location Address551 PARKSIDE DRLexington, KY 40505-1726
Mailing Address496 Southland DrLexington, KY 40503-1827 · (859) 288-2392 · Fax (859) 721-3918
Phone(859) 288-2425
Fax(859) 721-3918
Sole ProprietorNo
Enumeration DateMarch 9, 2006
Last NPPES UpdateMay 22, 20192 updates tracked since enumeration
✔ NPI 1194793760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in KY · 3004567
Also ListedNurse PractitionerTaxonomy 363L00000X · License 4567P (KY)
551 PARKSIDE DR, Lexington, KY 40505
Open in Google Maps ↗

Secondary Practice Location 1

Location 1496 Southland DrLexington, KY 40503-1827 · Phone (859) 288-2425 · Fax (859) 288-7510

Other Identifiers 4

Medicaid78014503KY
Other7706646Aetna Hhc
Other000000492591Bc Bs Apc
Other000000363979Bc Bs Hhc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Maria Jones Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Maria Jones reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Healthfirst Bluegrass Inc
6.0 mi
Federally Qualified Health Center (FQHC)
496 SOUTHLAND DR
Lexington, KY 40503
  • Reassigned Medicare billing, Kentucky enrollment
  • 61 clinicians in this Medicare group
NPI 1114932514 (859) 288-2425

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40505 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTIN NELSON CSW
Social Worker
551 PARKSIDE DR
LEXINGTON, KY 40505
Fayette County (859) 422-1803
SHACARLA RASHID LCSW
Social Worker
551 PARKSIDE DR
LEXINGTON, KY 40505
Fayette County (859) 288-2425
HEALTHFIRST BLUEGRASS INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
551 PARKSIDE DR
LEXINGTON, KY 40505
Fayette County (859) 288-2425
LEXINGTON FAYETTE COUNTY HEALTH DEPARTMENT
Public Health or Welfare
551 PARKSIDE DR
LEXINGTON, KY 40505
Fayette County (859) 381-3512

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maria Jones's NPI number?

The NPI number for Maria Jones is 1194793760. It was assigned to this individual provider in the NPPES registry on March 9, 2006.

Where is Maria Jones located?

Maria Jones practices at 551 Parkside Dr, Lexington, KY 40505. The listed phone number is (859) 288-2425.

What is Maria Jones's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Maria Jones enrolled in Medicare?

Yes. Maria Jones is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Maria Jones's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maria Jones reassigns Medicare benefits to Healthfirst Bluegrass Inc (Lexington, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Maria Jones's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Maria Jones accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter of Tennessee list Maria Jones as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Maria Jones was last updated on May 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.