KJ HEALTH SERVICES LLC
NPI 1417770207
Nurse Practitioner - Family in Evansville, IN
About Kj Health Services Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KJ HEALTH SERVICES LLC (NPI 1417770207) is a healthcare organization registered as a family in Evansville, Indiana and active in the NPI registry since November 2024. The organization lists Kimberly A Jackson, Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kj Health Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Kj Health Services LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Kj Health Services LLC's NPI number?
The NPI number for Kj Health Services LLC is 1417770207. It was assigned to this organization in the NPPES registry on November 1, 2024.
Where is Kj Health Services LLC located?
Kj Health Services LLC is located at 1 Main St Ste 201, Evansville, IN 47708. The listed phone number is (812) 202-6842.
What is Kj Health Services LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kj Health Services LLC enrolled in Medicare?
Yes. Kj Health Services LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kj Health Services LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Kj Health Services LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Kj Health Services LLC was last updated on November 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Kj Health Services Llc · NPI 1417770207
Family organization in Evansville, Indiana. Organization record, active in the CMS NPPES registry since November 1, 2024.
## Identity
- **NPI:** 1417770207 (Entity type: Organization)
- **Enumerated:** November 1, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Kimberly Jackson, MEMBER
## Practice location
- **Address:** 1 MAIN ST STE 201, Evansville, IN 47708-1473
- **Phone:** (812) 202-6842
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 1, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1417770207) · Data from the CMS NPPES public registry.