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JILLIAN GETTELFINGER
NPI 1487128807
Nurse Practitioner in Louisville, KY

Active since January 18, 2019PECOS Enrolled
91.54/100
CMS Quality Rating
1 AUDUBON PLAZA DR, LOUISVILLE, KY 40217(502) 634-6767(502) 634-6775 Get Directions Write a Review

NPPES record last updated: March 15, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 15, 2019, Jan 18, 2019 (2 updates tracked since 2019).

About Jillian Gettelfinger NPPES

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

JILLIAN GETTELFINGER (NPI 1487128807) is an individual nurse practitioner in Louisville, Kentucky, licensed in Kentucky (3013130) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1487128807
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJILLIAN GETTELFINGER
Location Address1 AUDUBON PLAZA DRLouisville, KY 40217-1318
Mailing AddressPo Box 36218Louisville, KY 40233-6218 · (502) 634-6767 · Fax (502) 634-6775
Phone(502) 634-6767
Fax(502) 634-6775
Sole ProprietorNo
Enumeration DateJanuary 18, 2019
Last NPPES UpdateMarch 15, 20192 updates tracked since enumeration
✔ NPI 1487128807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in KY · 3013130✔ Licensed in KY · 1144942
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1 AUDUBON PLAZA DR, Louisville, KY 40217
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1200 E Chestnut StLouisville, KY 40202-1831 · Phone (502) 634-6767 · Fax (502) 634-6775
Location 24960 Norton Healthcare BlvdLouisville, KY 40241-2831 · Phone (502) 634-6767 · Fax (502) 634-6775

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jillian Gettelfinger 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 Reassignments

2

Medicare enrollment records show Jillian Gettelfinger reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Louisville Emergency Medicine Associates Psc
4.8 mi
Emergency Medicine
4000 KRESGE WAY
Louisville, KY 40207
  • Reassigned Medicare billing, Kentucky enrollment
  • 38 clinicians in this Medicare group
NPI 1487604641 (502) 899-7646
Louisville Observational Medicine Associates Psc
4.8 mi
Emergency Medicine
4000 KRESGE WAY
Louisville, KY 40207
  • Reassigned Medicare billing, Kentucky enrollment
  • 36 clinicians in this Medicare group
NPI 1356018519 (502) 897-8100

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 40217 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.

91.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.57
Improvement Activities40

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.

COREY WARF M.D.
Emergency Medicine
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217
Jefferson County (502) 636-7225
MICHAEL DYLAN COOPER BSN, RN
Registered Nurse (Administrator)
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217
Jefferson County (606) 282-0971
ANDREW CHRISTOPHER ANGEL MD
General Practice
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217
Jefferson County (502) 636-7225
JACQUELINE MARIA CASE CRNA
Nurse Anesthetist, Certified Registered
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217
Jefferson County (502) 636-7160
DR. RANDALL JOSHUA CAMPBELL M.D.
Anesthesiology
1 AUDUBON PLAZA DR, ATTN: RUBY POLTNER
LOUISVILLE, KY 40217
Jefferson County (502) 636-7160
LAUREN FLAHERTY PA-C
Physician Assistant
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217
Jefferson County (502) 634-6767
ADAM LEHNIG MD
Emergency Medicine
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217
Jefferson County (502) 636-7255
DR. BRETT ALLEN MILLER M.D.
Emergency Medicine
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217
Jefferson County (502) 634-6767

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 Jillian Gettelfinger's NPI number?

The NPI number for Jillian Gettelfinger is 1487128807. It was assigned to this individual provider in the NPPES registry on January 18, 2019.

Where is Jillian Gettelfinger located?

Jillian Gettelfinger practices at 1 Audubon Plaza Dr, Louisville, KY 40217. The listed phone number is (502) 634-6767.

What is Jillian Gettelfinger's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jillian Gettelfinger enrolled in Medicare?

Yes. Jillian Gettelfinger is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jillian Gettelfinger's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jillian Gettelfinger reassigns Medicare benefits to 2 organizations: Louisville Emergency Medicine Associates Psc (Louisville, KY) and Louisville Observational Medicine Associates Psc (Louisville, 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 Jillian Gettelfinger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jillian Gettelfinger accept?

Health plans from Anthem Blue Cross and Blue Shield list Jillian Gettelfinger 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 Jillian Gettelfinger was last updated on March 15, 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.