JACQUELYN LINDA PEGRAM APRN
NPI 1497206783
Nurse Practitioner - Family in Lexington, KY

Active since October 20, 2016PECOS EnrolledAccepts Medicare Assignment
3581 HARRODSBURG RD STE 125, LEXINGTON, KY 40513(859) 313-6200(859) 447-8936 Get Directions Write a Review

NPPES record last updated: June 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 19, 2021, Oct 20, 2016 (2 updates tracked since 2016).

About Jacquelyn Linda Pegram Aprn NPPES

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

JACQUELYN LINDA PEGRAM APRN (NPI 1497206783) is an individual family provider in Lexington, Kentucky, licensed in Kentucky (3010709) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS, is affiliated with Saint Joseph Berea, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1497206783
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJACQUELYN LINDA PEGRAMCredential: APRN
Location Address3581 HARRODSBURG RD STE 125Lexington, KY 40513-1140
Mailing AddressPo Box 936London, KY 40743-0936 · Fax (606) 330-7825
Fax(859) 447-8936
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateOctober 20, 2016
Last NPPES UpdateJune 28, 20222 updates tracked since enumeration
NPPES CertifiedJune 28, 2022
NPI 1497206783 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 · 3010709
3581 HARRODSBURG RD STE 125, Lexington, KY 40513

Other Names 1

Former Name (1)Jacquelyn Linda Jorgensen

Secondary Practice Locations 3

Location 1480 Bullion Blvd Ste BWinchester, KY 40391-2933 · Phone (859) 385-4758 · Fax (859) 385-4758
Location 2535 Wellington Way Ste 330Lexington, KY 40503-1331 · Phone (859) 439-0400
Location 3881 Corporate Dr Ste 110Lexington, KY 40503-2748 · Phone (859) 439-0400

Accepted 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

Jacquelyn Linda Pegram Aprn 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 ID1355623562
PECOS Enrollment IDI20170901002166
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.

Hospital Affiliations CMS Care Compare

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

Saint Joseph Berea

Critical Access Hospitals · Berea, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181329
Location305 Estill StreetBerea, KY 40403 · Madison County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40513 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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
3581 HARRODSBURG RD STE 125
LEXINGTON, KY 40513
Nurse Practitioner (Family)
3581 HARRODSBURG RD STE 125
LEXINGTON, KY 40513

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 Jacquelyn Pegram's NPI number?

The NPI number for Jacquelyn Pegram is 1497206783. It was assigned to this individual provider in the NPPES registry on October 20, 2016. The provider is also known as Jacquelyn Linda Jorgensen.

Where is Jacquelyn Pegram located?

Jacquelyn Pegram practices at 3581 Harrodsburg Rd Ste 125, Lexington, KY 40513. The listed phone number is (859) 313-6200.

What is Jacquelyn Pegram's specialty?

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

Is Jacquelyn Pegram enrolled in Medicare?

Yes. Jacquelyn Pegram 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.

What insurance does Jacquelyn Pegram accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Jacquelyn Pegram 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 Jacquelyn Pegram affiliated with any hospitals?

According to CMS data, Jacquelyn Pegram is affiliated with Saint Joseph Berea.

When was this NPI record last updated?

The NPPES record for Jacquelyn Pegram was last updated on June 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.