KAITLYN JONES
NPI 1487540571
Nurse Practitioner - Family in Middlesboro, KY

Active since June 16, 2025PECOS EnrolledAccepts Medicare Assignment
709 W CHESTER AVE, MIDDLESBORO, KY 40965(606) 521-5977 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kaitlyn Jones NPPES

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

KAITLYN JONES (NPI 1487540571) is an individual family provider in Middlesboro, Kentucky, licensed in Kentucky (4041741) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS, is affiliated with Middlesboro Arh Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1487540571
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKAITLYN JONES
Location Address709 W CHESTER AVEMiddlesboro, KY 40965-1507
Mailing Address709 W Chester AveMiddlesboro, KY 40965-1507
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 16, 2025
NPPES CertifiedMay 20, 2025
✔ NPI 1487540571 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 · 4041741
709 W CHESTER AVE, Middlesboro, KY 40965

Accepted 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

Kaitlyn Jones 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 ID2062917917
PECOS Enrollment IDI20250923002979
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 Reassignment

Medicare enrollment records show Kaitlyn Jones reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rural Health
3503 CUMBERLAND AVE
Middlesboro, KY 40965
  • Reassigned Medicare billing, Kentucky enrollment
  • Medicare enrollment name: Tristate Medical Clinic Inc
  • 5 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

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

Middlesboro Arh Hospital

Acute Care Hospitals · Middlesboro, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180020
Location3600 West Cumberland AvenueMiddlesboro, KY 40965 · Bell County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40965 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.

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 Kaitlyn Jones's NPI number?

The NPI number for Kaitlyn Jones is 1487540571. It was assigned to this individual provider in the NPPES registry on June 16, 2025.

Where is Kaitlyn Jones located?

Kaitlyn Jones practices at 709 W Chester Ave, Middlesboro, KY 40965. The listed phone number is (606) 521-5977.

What is Kaitlyn Jones's specialty?

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

Is Kaitlyn Jones enrolled in Medicare?

Yes. Kaitlyn Jones 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 organization bills Medicare for Kaitlyn Jones's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kaitlyn Jones reassigns Medicare benefits to Tri State Medical Clinic Inc (Middlesboro, KY). The 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 Kaitlyn Jones's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kaitlyn Jones accept?

Health plans from Anthem Blue Cross and Blue Shield list Kaitlyn Jones 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 Kaitlyn Jones affiliated with any hospitals?

According to CMS data, Kaitlyn Jones is affiliated with Middlesboro Arh Hospital.

When was this NPI record last updated?

The NPPES record for Kaitlyn Jones was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.