JASMAINE THEOBALD APRN
NPI 1346624962
Nurse Practitioner - Family in Paducah, KY

Active since July 14, 2015PECOS EnrolledAccepts Medicare Assignment
2601 KENTUCKY AVE, SUITE 103, PADUCAH, KY 42003(270) 415-4860(270) 415-4862 Get Directions Write a Review

NPPES record last updated: December 3, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 3, 2019, Nov 26, 2019, Oct 30, 2017 and 1 more (4 updates tracked since 2016).

About Jasmaine Theobald Aprn NPPES

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

JASMAINE THEOBALD APRN (NPI 1346624962) is an individual family provider in Paducah, Kentucky, licensed in Kentucky (3009523) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Paducah, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1346624962
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJASMAINE THEOBALDCredential: APRN
Location Address2601 KENTUCKY AVE, SUITE 103Paducah, KY 42003-3817
Mailing Address2700 Stanley Gault Pkwy Ste 129Louisville, KY 40223-5176 · (502) 253-4900 · Fax (502) 489-5751
Fax(270) 415-4862
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 14, 2015
Last NPPES UpdateDecember 3, 20194 updates tracked since enumeration
NPI 1346624962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in KY · 3009523
2601 KENTUCKY AVE, Paducah, KY 42003

Secondary Practice Locations 2

Location 1543 Powell LnBenton, KY 42025-5366 · Phone (270) 415-7070 · Fax (270) 415-7071
Location 24754 US Highway 62Calvert City, KY 42029-8456 · Phone (270) 415-7780 · Fax (270) 415-7779

Other Identifiers 1

Medicaid7100390020KS

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jasmaine Theobald Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810291002
PECOS Enrollment IDI20160209001014
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
22 services18 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Health Paducah

Acute Care Hospitals · Paducah, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180104
Location2501 Kentucky AvenuePaducah, KY 42003 · Mc Cracken County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42003 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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers18 claims31 services$5.73 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers31 claims32 services$8.37 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers15 claims15 services$119.39 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$38.23 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Family)
2601 KENTUCKY AVE, SUITE 301
PADUCAH, KY 42003
Pharmacy (Community/Retail Pharmacy)
2601 KENTUCKY AVE, MEDICAL PARK 1, SUITE 101
PADUCAH, KY 42003
Internal Medicine (Cardiovascular Disease)
2601 KENTUCKY AVE, SUITE 301
PADUCAH, KY 42003
Nurse Practitioner (Family)
2601 KENTUCKY AVE, SUITE 301
PADUCAH, KY 42003
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2601 KENTUCKY AVE, STE 300
PADUCAH, KY 42003
Internal Medicine (Interventional Cardiology)
2601 KENTUCKY AVE, SUITE 300
PADUCAH, KY 42003
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2601 KENTUCKY AVE, STE 300
PADUCAH, KY 42003
Clinic/Center (Primary Care)
2601 KENTUCKY AVE, SUITE 103
PADUCAH, KY 42003

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 Jasmaine Theobald's NPI number?

The NPI number for Jasmaine Theobald is 1346624962. It was assigned to this individual provider in the NPPES registry on July 14, 2015.

Where is Jasmaine Theobald located?

Jasmaine Theobald practices at 2601 Kentucky Ave Suite 103, Paducah, KY 42003. The listed phone number is (270) 415-4860.

What is Jasmaine Theobald's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jasmaine Theobald enrolled in Medicare?

Yes. Jasmaine Theobald is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jasmaine Theobald accept?

Health plans from CareSource list Jasmaine Theobald 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.

Is Jasmaine Theobald affiliated with any hospitals?

According to CMS data, Jasmaine Theobald is affiliated with Baptist Health Paducah.

When was this NPI record last updated?

The NPPES record for Jasmaine Theobald was last updated on December 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.