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JODI NEWSOME NP-WCC
NPI 1396019501
Nurse Practitioner - Adult Health in Alexandria, KY

Active since March 06, 2012PECOS EnrolledAccepts Medicare Assignment
85.49/100
CMS Quality Rating
13 MAPLE VALLEY LN, ALEXANDRIA, KY 41001(859) 240-3343 Get Directions Write a Review

NPPES record last updated: January 19, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Jodi Newsome Np-wcc NPPES

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

JODI NEWSOME NP-WCC (NPI 1396019501) is an individual adult health provider in Alexandria, Kentucky, licensed in Ohio (COA.12947-NP) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS and is a graduate of University Of Cincinnati College Of Medicine (2011).

NPPES Registry Identity

NPI1396019501
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameJODI NEWSOMECredential: NP-WCC
Location Address13 MAPLE VALLEY LNAlexandria, KY 41001-9679
Mailing Address13 Maple Valley LnAlexandria, KY 41001-9679 · (859) 240-3343
Phone(859) 240-3343
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2011
Enumeration DateMarch 6, 2012
Last NPPES UpdateJanuary 19, 2025
NPPES CertifiedJanuary 19, 2025
✔ NPI 1396019501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in OH · COA.12947-NP
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License APRN.CNP.12947 (OH)
13 MAPLE VALLEY LN, Alexandria, KY 41001
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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jodi Newsome Np-wcc 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 ID840454872
PECOS Enrollment IDI20120604000142
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 Reassignments

3

Medicare enrollment records show Jodi Newsome reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Health Providers Of America, LLC
20 mi
Primary Care
3801 E GALBRAITH RD
Cincinnati, OH 45236
  • Reassigned Medicare billing, Ohio enrollment
  • 7 clinicians in this Medicare group
NPI 1316560972 (404) 213-7394
Wound Care Specialists Of Ohio LLC
22 mi
Nurse Practitioner
670 WINDING WOODS DR
Loveland, OH 45140
  • Reassigned Medicare billing, Ohio enrollment
  • 3 clinicians in this Medicare group
NPI 1396938346 (513) 478-5300
Caremed Health Solutions Of Kentucky, LLC
98 mi
Multi-Specialty
1820 OAKVIEW RD
Ashland, KY 41101
  • Reassigned Medicare billing, Kentucky enrollment
  • 75 clinicians in this Medicare group
NPI 1326789462 (845) 521-9991

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

Areas of Expertise CMS Part B claims 6

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
398 services118 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
207 services63 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
77 services58 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
41 services22 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
29 services17 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41001 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.06
Promoting Interoperability100
Improvement Activities40
Cost60.59

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.

Collagen dressing, sterile, size 16 sq. in. or less, each A6021
DME-Medical/Surgical Supplies · category DA023N
3 suppliers11 claims191 services$19.63 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
3 suppliers16 claims305 services$7.12 avg. paid by Medicare
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212
DME-Medical/Surgical Supplies · category DA023N
2 suppliers15 claims202 services$8.55 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6402
DME-Medical/Surgical Supplies · category DA023N
2 suppliers14 claims748 services$0.11 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Jodi Newsome's NPI number?

The NPI number for Jodi Newsome is 1396019501. It was assigned to this individual provider in the NPPES registry on March 6, 2012.

Where is Jodi Newsome located?

Jodi Newsome practices at 13 Maple Valley Ln, Alexandria, KY 41001. The listed phone number is (859) 240-3343.

What is Jodi Newsome's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Jodi Newsome enrolled in Medicare?

Yes. Jodi Newsome 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.

Which organizations bill Medicare for Jodi Newsome's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jodi Newsome reassigns Medicare benefits to 3 organizations: Health Providers Of America, LLC (Cincinnati, OH), Wound Care Specialists Of Ohio LLC (Loveland, OH) and Caremed Health Solutions Of Kentucky, LLC (Ashland, KY). Each 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 Jodi Newsome's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jodi Newsome accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and MedMutual list Jodi Newsome 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 Jodi Newsome was last updated on January 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.