ROBBIE LEIGH JONES AGACNP-BC
NPI 1427680412
Nurse Practitioner - Gerontology in Madisonville, KY

Q: What is Robbie Jones's NPI number?

The NPI number for Robbie Jones is 1427680412. It was assigned to this individual provider in the NPPES registry on February 7, 2020.

Q: What is Robbie Jones's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Robbie Jones was last updated on February 7, 2020. 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.

Active since February 07, 2020PECOS EnrolledAccepts Medicare Assignment

85.59/100

CMS Quality Rating

900 HOSPITAL DR, MADISONVILLE, KY 42431(270) 825-5869(270) 326-4599 Get Directions Write a Review

NPPES record last updated: February 7, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Robbie Leigh Jones Agacnp-bc NPPES

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

ROBBIE LEIGH JONES AGACNP-BC (NPI 1427680412) is an individual gerontology provider in Madisonville, Kentucky, licensed in Kentucky (3014191) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital And Health Care Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1427680412

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameROBBIE LEIGH JONESCredential: AGACNP-BC

Location Address900 HOSPITAL DRMadisonville, KY 42431-1644

Mailing Address5200 Commerce Crossings Dr Fl 3Louisville, KY 40229-2182 · (502) 253-4900 · Fax (502) 489-5751

Phone(270) 825-5869

Fax(270) 326-4599

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateFebruary 7, 2020

✔ NPI 1427680412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in KY · 3014191

900 HOSPITAL DR, Madisonville, KY 42431

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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 Home State Health, Ambetter Health and more.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

Robbie Leigh Jones Agacnp-bc 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 ID1254760739

PECOS Enrollment IDI20200403002221, I20230418001461

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 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.

Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth G0408

A follow-up inpatient consultation is a service where your doctor checks on your health progress after initial treatment. It's complex and typically takes about 35 minutes via telehealth, which means you'll talk to your doctor remotely, using technology.

113 services84 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

57 services42 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

34 services27 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

23 services19 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.

14 services14 patients

Telehealth consultation, critical care, initial , physicians typically spend 60 minutes communicating with the patient and providers via telehealth G0508

A telehealth consultation for critical care is a virtual meeting with a physician, typically lasting 60 minutes. Here, the doctor assesses your health condition, provides guidance, and communicates with other care providers, all through digital platforms. It's a safe, convenient way to receive critical care.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Hospital And Health Care Center

Acute Care Hospitals · Jasper, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150115

Location800 W 9th StJasper, IN 47546 · Dubois County

Emergency services Birthing friendly

Baptist Health Deaconess Madisonville

Acute Care Hospitals · Madisonville, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180093

Location900 Hospital DriveMadisonville, KY 42431 · Hopkins County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42431 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.

85.59/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

82.96

Promoting Interoperability

100

Improvement Activities

Cost

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.

CADE CUNNINGHAM

Pharmacist